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Organization
JOSEPH PHUOC BUI DMD INC
Active
Organization
JOSEPH PHUOC BUI DMD INC
Active
Other names
Bella Terra Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH BUI DMD (CEO/MANAGING DENTIST)
(209) 518-6315
Entity
Organization
Contact information
Practice address
1110 W KETTLEMAN LN, STE 47, LODI, CA 95240-6031
(209) 224-8104
Mailing address
1110 W KETTLEMAN LN, SUITE 47, LODI, CA 95240-6031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54638
CA
Other
Enumeration date
07/10/2015
Last updated
07/21/2015
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