Organization
DING BU DDS DENTAL CORP
Active
Other names
Ding Bu DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN BU DDS (PRESIDENT)
(626) 285-9808
Entity
Organization
Contact information
Practice address
5546 ROSEMEAD BLVD, SUITE 104, TEMPLE CITY, CA 91780-1845
(626) 285-9808
(626) 285-6878
Mailing address
5546 ROSEMEAD BLVD, SUITE 104, TEMPLE CITY, CA 91780-1845
(626) 285-9808
(626) 285-6878
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
45829
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B4582901
—
CA
Enumeration date
11/13/2014
Last updated
11/13/2014
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