Individual
CHRISTINA BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3602 RIVERSIDE PLAZA DR STE 101, RIVERSIDE, CA 92506-2726
(951) 228-9576
Mailing address
13882 LA BONITA AVE, GARDEN GROVE, CA 92843-3620
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS104814
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
04/12/2019
Last updated
07/28/2020
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