Provider Demographics
NPI:1902967540
Name:BUI, LYNNA (DDS, MPH)
Entity Type:Individual
Prefix:DR
First Name:LYNNA
Middle Name:
Last Name:BUI
Suffix:
Gender:F
Credentials:DDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3405 CHERYL CT
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-3948
Mailing Address - Country:US
Mailing Address - Phone:650-372-0965
Mailing Address - Fax:
Practice Address - Street 1:1900 UNIVERSITY AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-2212
Practice Address - Country:US
Practice Address - Phone:650-853-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA467551223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics