# SON BUI DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mint Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396264180
- **Authorized official:** DR. SON NGUYEN BUI DMD (OWNER)
- **Authorized official phone:** (832) 628-8604

## Contact information

- **Practice address:** 14820 PACIFIC AVE S, TACOMA, WA 98444-4655
- **Practice address phone:** (832) 628-8604
- **Practice address fax:** (281) 855-4511
- **Mailing address:** 205 E 25TH ST, HOUSTON, TX 77008-2523
- **Mailing address phone:** (832) 628-8604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00010979 | WA | Yes |

## Other

- **Enumeration date:** 09/13/2017
- **Last updated:** 09/13/2017