Skip Navigation

Provider Information for 1689890915



DR. MICHELLE TRUC BUI DDS

Gender: FEMALE

Individual NPI: 1689890915

Calendar Last Updated: 2008-01-30

Details

Name Value
NPI 1689890915
Enumeration Date 2007-04-17
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 642 S HARBOR BLVD
SANTA ANA, CA 92704-1383
United States

Phone: 714-775-0202 | Fax: 714-775-8735
View Map External Link
Primary Practice Address 642 S HARBOR BLVD
SANTA ANA, CA 92704-1383
United States

Phone: 714-775-0202 | Fax: 714-775-8735
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 53054
Other Identifiers
Issuer State Number