Individual
DR. CECILIA BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11101 BROOKHURST ST, GARDEN GROVE, CA 92840-1002
(714) 539-1100
(714) 539-4841
Mailing address
11101 BROOKHURST ST, GARDEN GROVE, CA 92840-1002
(714) 539-1100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39255
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
912029897
FEDERAL TAX ID
CA
Enumeration date
01/08/2007
Last updated
05/15/2013
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