Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | OMS92 | CA |
Y | 204E00000X | Oral & Maxillofacial Surgeon | A108673 | CA |
NPI | 1063660538 |
---|---|
Provider Name | Peter Q Bui |
First Address | Sunnyvale, CA 94087-3021 |
Second Address | Sunnyvale, CA 94087-3021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2008 |
Last Update Date | 13/12/2021 |