| Thanhha Thi Bui, Dds, Inc | |
|
3203 W Ball Rd Anaheim CA 92804-3705 | |
| (714) 995-3415 | |
| (714) 995-3620 |
| Full Name | Thanhha Thi Bui, Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3203 W Ball Rd, Anaheim, California |
| Authorized Official Name and Position | Thanhha Thi Bui (PRESIDENT) |
| Authorized Official Contact | 7149953415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thanhha Thi Bui, Dds, Inc 3203 W Ball Rd Anaheim CA 92804-3705 Ph: (714) 995-3415 | Thanhha Thi Bui, Dds, Inc 3203 W Ball Rd Anaheim CA 92804-3705 Ph: (714) 995-3415 |
| NPI Number | 1467778282 |
|---|---|
| Provider Enumeration Date | 04/19/2010 |
| Last Update Date | 08/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467778282 | NPI | - | NPPES |
| 51234 | Medicaid | CA | |
| 53579 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 51234 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 53579 (California) | Primary |
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