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General NPI Number Information
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NPI Number | 1285189928
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Entity Type | Organization
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Legal Business Name | CECILIA BUI DDS INC A PROFESSIONAL DENTAL CORPORATION
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 09/12/2016
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Provider Practice Location Address
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Address Line | 10042 LAMPSON AVE STE 101
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City | GARDEN GROVE
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State | CA
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Zip | 92840-4703
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Country | US
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Telephone | 714-539-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 10042 LAMPSON AVE STE 101
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City | GARDEN GROVE
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State | CA
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Zip | 92840-4703
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Country | US
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Telephone | 714-539-1100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CECILIA BUI
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Credential |
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Telephone | 714-539-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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