Individual
DR. TAN M BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2937 COBB PKWY SE, ATLANTA, GA 30339-3519
(315) 454-6000
Mailing address
630 FALLS BAY CT, ALPHARETTA, GA 30022-3305
(121) 061-6121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122319
GA
Other
Enumeration date
06/22/2021
Last updated
08/01/2021
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