| Good Choi's Dental Care, P.c. | |
|
10555 Crestwood Dr., Unit B Manassas VA 20109 | |
| (571) 234-2831 | |
| Not Available |
| Full Name | Good Choi's Dental Care, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10555 Crestwood Dr., Unit B, Manassas, Virginia |
| Authorized Official Name and Position | Sungwon Choi (GENERAL DENTIST/CLINIC OWNER) |
| Authorized Official Contact | 5712342831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Choi's Dental Care, P.c. 10555 Crestwood Dr., Unit B Manassas VA 20109 Ph: (571) 234-2831 | Good Choi's Dental Care, P.c. 10555 Crestwood Dr., Unit B Manassas VA 20109 Ph: (571) 234-2831 |
| NPI Number | 1265818363 |
|---|---|
| Provider Enumeration Date | 07/31/2015 |
| Last Update Date | 07/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265818363 | NPI | - | NPPES |
| 1093879280 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401411171 (Virginia) | Primary |
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