Provider Demographics
NPI:1669699815
Name:BUI, TUYET-VAN THI (DDS)
Entity type:Individual
Prefix:DR
First Name:TUYET-VAN
Middle Name:THI
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 1:9081 BOLSA AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5590
Mailing Address - Country:US
Mailing Address - Phone:714-892-1622
Mailing Address - Fax:714-898-8335
Practice Address - Street 1:9081 BOLSA AVE STE 103
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5590
Practice Address - Country:US
Practice Address - Phone:714-892-1622
Practice Address - Fax:714-898-8335
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB30491 01122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist