Individual
DR. MIA M BUSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12546 VALLEY VIEW ST, B, GARDEN GROVE, CA 92845-2006
(714) 895-4495
Mailing address
12546 VALLEY VIEW ST, B, GARDEN GROVE, CA 92845-2006
(714) 895-4495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
38045
CA
122400000X
Denturist
Primary
38045
CA
Other
Enumeration date
08/31/2006
Last updated
09/11/2025
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