Healthcare Provider Details

I. General information

NPI: 1689441545
Provider Name (Legal Business Name): APRIL BUI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2023
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23914 100TH AVE SE STE 100
KENT WA
98031-4234
US

IV. Provider business mailing address

23914 100TH AVE SE STE 100
KENT WA
98031-4234
US

V. Phone/Fax

Practice location:
  • Phone: 253-336-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDENT.DE.70130691
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: