Provider Demographics
NPI:1912011776
Name:BUI, TINA H (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:TINA
Middle Name:H
Last Name:BUI
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Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:7457 LAS COLINAS BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7561
Mailing Address - Country:US
Mailing Address - Phone:972-910-0003
Mailing Address - Fax:866-296-6676
Practice Address - Street 1:7457 LAS COLINAS BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-7561
Practice Address - Country:US
Practice Address - Phone:972-910-0003
Practice Address - Fax:866-296-6676
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2013-11-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX204701223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry