Provider Demographics
NPI:1487933701
Name:BUI, ANN H (RDHAP)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:H
Last Name:BUI
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9877 CHAPMAN AVE
Mailing Address - Street 2:STE D #140
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-2738
Mailing Address - Country:US
Mailing Address - Phone:562-281-5628
Mailing Address - Fax:
Practice Address - Street 1:9877 CHAPMAN AVE.
Practice Address - Street 2:STE. D #140
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841
Practice Address - Country:US
Practice Address - Phone:562-281-5628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA345124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist