Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | DI02487600 | NJ |
N | 122300000X | Dentist | DN19207 | FL |
Y | 1223P0221X | Pediatric Dentist | DN 19207 | FL |
NPI | 1003883422 |
---|---|
Provider Name | Dr. Loananh Thi Bui |
First Address | Sarasota, FL 34233-2563 |
Second Address | Sarasota, FL 34233-2563 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2006 |
Last Update Date | 03/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q38032 | (02) |