Individual
BREANNA BUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
642 S HARBOR BLVD, SANTA ANA, CA 92704-1383
(714) 775-0202
Mailing address
4732 OCEANRIDGE DR, HUNTINGTON BEACH, CA 92649-6426
(714) 655-4648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
110384
CA
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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