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Organization

CARE DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THANHHA THI BUI DDS (OWNER)
(714) 534-3415
Entity
Organization

Contact information

Practice address
12079 EUCLID ST, GARDEN GROVE, CA 92840-3332
(714) 534-3415
Mailing address
12079 EUCLID ST, GARDEN GROVE, CA 92840-3332
(714) 534-3415

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53579
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G93670-01
DENTI-CAL
CA
Enumeration date
01/05/2009
Last updated
01/05/2009
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