| Hien Bui, Dmd A Professional Dental Corporation | |
|
6255 Lusk Blvd Ste 250 San Diego CA 92121-3763 | |
| (858) 658-0691 | |
| Not Available |
| Full Name | Hien Bui, Dmd A Professional Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 6255 Lusk Blvd Ste 250, San Diego, California |
| Authorized Official Name and Position | Hien Quang Bui (OWNER) |
| Authorized Official Contact | 8586580691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hien Bui, Dmd A Professional Dental Corporation 6255 Lusk Blvd Ste 250 San Diego CA 92121-3763 Ph: (858) 658-0691 | Hien Bui, Dmd A Professional Dental Corporation 6255 Lusk Blvd Ste 250 San Diego CA 92121-3763 Ph: (858) 658-0691 |
| NPI Number | 1851729248 |
|---|---|
| Provider Enumeration Date | 10/22/2013 |
| Last Update Date | 10/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851729248 | NPI | - | NPPES |
| 1982611810 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52347 (California) | Primary |
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