| Choi Dental Corporation | |
|
113 Waterworks Way Ste 120 Irvine CA 92618-3171 | |
| (949) 786-2820 | |
| (949) 786-2815 |
| Full Name | Choi Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 113 Waterworks Way Ste 120, Irvine, California |
| Authorized Official Name and Position | Hyeonju Choi (OWNER) |
| Authorized Official Contact | 9497862820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Choi Dental Corporation 113 Waterworks Way Ste 120 Irvine CA 92618-3171 Ph: (949) 786-2820 | Choi Dental Corporation 113 Waterworks Way Ste 120 Irvine CA 92618-3171 Ph: (949) 786-2820 |
| NPI Number | 1144627191 |
|---|---|
| Provider Enumeration Date | 11/19/2014 |
| Last Update Date | 11/19/2014 |
| Medicare PECOS PAC ID | 6901121698 |
|---|---|
| Medicare Enrollment ID | O20150223000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144627191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
| Provider Name | Hyeonju Choi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396953949 PECOS PAC ID: 4385967009 Enrollment ID: I20150223000968 |
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