MEDICARE: A&K ORTHODONTICS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	53972	CA

General Provider Information

NPI Number	:	1932688603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A&K ORTHODONTICS, INC.

Provider Business Mailing Address
First Line	:	28430 EVENING BREEZE DR
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92887-6407
Country	:	US
Telephone Number	:	949-231-7779
Fax Number	:

Provider Business Practice Location Address
First Line	:	9430 WARNER AVE STE E
Second Line	:
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-2863
Country	:	US
Telephone Number	:	714-916-0422
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KURT K. BUI
Credential	:	DDS, MS
Telephone Number	:	949-231-7779

Provider Enumeration Date	:	08/13/2018
Last Update Date	:	08/13/2018

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