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General NPI Number Information
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NPI Number | 1902967540
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Entity Type | Individual
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Provider Name | LYNNA BUI D.D.S., M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1900 UNIVERSITY AVE SUITE 106
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City | PALO ALTO
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State | CA
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Zip | 94303-2212
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Country | US
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Telephone | 650-853-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 3405 CHERYL CT
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City | SAN MATEO
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State | CA
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Zip | 94403-3948
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Country | US
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Telephone | 650-372-0965
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 46755
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License Number State | CA
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