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Individual
DR. STACEY BICHDAO BUI
Active
Individual
DR. STACEY BICHDAO BUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58742
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58742
DENTAL LICENSE
CA
Enumeration date
05/16/2011
Last updated
05/16/2011
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