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Contact Information

MIA M BUSAN, DDS
12546 VALLEY VIEW ST
B
GARDEN GROVE, CA92845-2006
 Phone: 714-895-4495
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Denturist

122400000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MIA M BUSAN · (Female)

NPI Number 1801908298
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/31/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 38045
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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