Individual
QUANG HA DANG BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(410) 706-7101
Mailing address
866 W LOMBARD ST APT 3F, BALTIMORE, MD 21201-1078
(610) 504-9103
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17569
MD
Other
Enumeration date
04/05/2021
Last updated
10/13/2021
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