Organization
QUANG D M BUI PC
Active
Parent organization
CAVITYBUSTERS
Other names
Cavitybusters
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAVITYBUSTERS
Authorized official
MRS. TERESA SUE WESTFALL (OFFICE MANAGER)
(702) 869-8858
Entity
Organization
Contact information
Practice address
211 N BUFFALO DR, SUITE B, LAS VEGAS, NV 89145-0302
(702) 869-8858
(702) 869-5588
Mailing address
211 N BUFFALO DR, SUITE B, LAS VEGAS, NV 89145-0302
(702) 869-8858
(702) 869-5588
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
S6-52
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100511579
—
NV
Enumeration date
03/31/2010
Last updated
03/31/2010
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