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Organization
JAMES Q BUI DDS A PROFESSIONAL DENTAL CORPORATION
Active
Organization
JAMES Q BUI DDS A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES QUAT BUI DDS (PRESIDENT DENTIST)
(714) 282-7737
Entity
Organization
Contact information
Practice address
1076 E 1ST ST, SUITE D, TUSTIN, CA 92780-3852
(714) 282-7737
(714) 282-7764
Mailing address
1076 E 1ST ST, SUITE D, TUSTIN, CA 92780-3852
(714) 282-7737
(714) 282-7764
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9254101
DENTICAL
CA
Enumeration date
11/02/2006
Last updated
12/05/2014
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