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Provider Information for 1285882159



DR. MINDY OK DMD

Other Name:   WON MIN CHOI
Gender: FEMALE

Individual NPI: 1285882159

Calendar Last Updated: 2013-08-12

Details

Name Value
NPI 1285882159
Enumeration Date 2008-09-04
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 52 DEFOREST AVE BLDG 3
SUMMIT, NJ 07901-1930
United States

Phone: 908-273-3873 | Fax: 908-273-0905
View Map External Link
Primary Practice Address 52 DEFOREST AVE BLDG 3
SUMMIT, NJ 07901-1930
United States

Phone: 908-273-3873 | Fax: 908-273-0905
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NJ D20252
Other Identifiers
Issuer State Number