Provider Demographics
NPI:1457871428
Name:BUI, JULIE H (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:H
Last Name:BUI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 1ST ST UNIT S1908
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-3074
Mailing Address - Country:US
Mailing Address - Phone:510-604-1084
Mailing Address - Fax:
Practice Address - Street 1:2001 UNION ST STE 590
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4125
Practice Address - Country:US
Practice Address - Phone:415-409-3368
Practice Address - Fax:415-409-3370
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1022101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice