MEDICARE: DANIEL BUI , DDS 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	1223G0001X	General Practice Dentistry	43426	CA

General Provider Information

NPI Number	:	1407994031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL BUI , DDS INC.

Provider Business Mailing Address
First Line	:	16900 GOLDENWEST ST
Second Line	:	SUITE A
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-8405
Country	:	US
Telephone Number	:	714-375-2436
Fax Number	:	714-375-2436

Provider Business Practice Location Address
First Line	:	16900 GOLDENWEST ST
Second Line	:	SUITE A
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-8405
Country	:	US
Telephone Number	:	714-375-2436
Fax Number	:	714-375-2436

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANIEL BUI
Credential	:	DDS
Telephone Number	:	714-375-2436

Provider Enumeration Date	:	02/04/2007
Last Update Date	:	08/22/2020

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