| Lee & Choi Dds, Inc. | |
|
1025 Sentinel Dr Ste 202a La Verne CA 91750-3280 | |
| (909) 596-4811 | |
| (909) 596-5102 |
| Full Name | Lee & Choi Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1025 Sentinel Dr Ste 202a, La Verne, California |
| Authorized Official Name and Position | Kyung Duk Choi (CEO) |
| Authorized Official Contact | 9095964811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee & Choi Dds, Inc. 1025 Sentinel Dr Ste 202a La Verne CA 91750-3280 Ph: (909) 596-4811 | Lee & Choi Dds, Inc. 1025 Sentinel Dr Ste 202a La Verne CA 91750-3280 Ph: (909) 596-4811 |
| NPI Number | 1457626830 |
|---|---|
| Provider Enumeration Date | 03/19/2012 |
| Last Update Date | 04/27/2023 |
| Medicare PECOS PAC ID | 1557695657 |
|---|---|
| Medicare Enrollment ID | O20190624002048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457626830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 58345 (California) | Primary |
| Provider Name | Kyung Duk Choi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1679700561 PECOS PAC ID: 9638403736 Enrollment ID: I20190624002404 |
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