Provider Demographics
NPI:1912103912
Name:BUI, JAMES QUAT (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:QUAT
Last Name:BUI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 E LINCOLN AVE
Mailing Address - Street 2:SUITE #J
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92865-1932
Mailing Address - Country:US
Mailing Address - Phone:714-282-7737
Mailing Address - Fax:714-282-7764
Practice Address - Street 1:1301 E LINCOLN AVE
Practice Address - Street 2:SUITE #J
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92865-1932
Practice Address - Country:US
Practice Address - Phone:714-282-7737
Practice Address - Fax:714-282-7764
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA478531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice