Individual
JOHN BUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5850 E STILL CIR, MESA, AZ 85206-3618
(480) 219-6000
Mailing address
2072 E SOUTHERN AVE STE A103, TEMPE, AZ 85282-7500
(480) 353-6361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010997
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2020
Last updated
12/07/2021
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