MEDICARE: DR. TINA H BUI DDS, MS

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	1223P0221X	Pediatric Dentistry	20470	TX

General Provider Information

NPI Number	:	1912011776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TINA H BUI DDS, MS

Provider Business Mailing Address
First Line	:	7457 LAS COLINAS BLVD
Second Line	:	SUITE 101
City	:	IRVING
State	:	TX
Zip	:	75063-7561
Country	:	US
Telephone Number	:	972-910-0003
Fax Number	:	866-296-6676

Provider Business Practice Location Address
First Line	:	7457 LAS COLINAS BLVD
Second Line	:	SUITE 101
City	:	IRVING
State	:	TX
Zip	:	75063-7561
Country	:	US
Telephone Number	:	972-910-0003
Fax Number	:	866-296-6676

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	11/05/2013

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