Busan, Mia M
Busan, Mia M is an sole proprietor health care provider with primary practice located at 12546 Valley View St B, Garden Grove CA 92845-2006. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Denturist. Dental Providers / General Practice is her primary health care specialty. Busan, Mia M can be contacted via phone (714) 895-4495.Contact Information
Primary practice address
12546 Valley View St B
Garden Grove CA 92845-2006
Phone: (714) 895-4495
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 38045 | California |
| Dental Providers / Denturist | 122400000X | 38045 | California |
Profile Details
| NPI number | 1801908298 |
|---|---|
| LBN Legal business name | Busan, Mia M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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