Individual
PHUONG CAT BUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1860 MADISON AVE STE 4, COUNCIL BLUFFS, IA 51503-5200
(515) 822-6889
Mailing address
814 S 37TH AVE APT 7, OMAHA, NE 68105-1164
(515) 822-6889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
62038
KS
1223G0001X
General Practice Dentistry
Primary
DDS-09978
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2022
Last updated
03/27/2023
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