Individual
MS. PAMELA BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44121 HARRY BYRD HWY STE 265, ASHBURN, VA 20147-5672
(703) 858-1550
Mailing address
4445 CORPORATION LN STE 264, VIRGINIA BEACH, VA 23462-3262
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
058549
NY
Other
Enumeration date
03/06/2014
Last updated
04/11/2020
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