Individual
DR. GLEN BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7448 W GLENDALE AVE, SUITE 126, GLENDALE, AZ 85303-2575
(623) 930-0060
(623) 930-0667
Mailing address
12568 W FLOWER ST, AVONDALE, AZ 85392-6376
(623) 930-0060
(623) 930-0667
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6675
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D6675
AZDA
AZ
Enumeration date
01/30/2007
Last updated
09/08/2008
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