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Provider Information for 1285882159

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. MINDY OK DMD

Other Name:   WON MIN CHOI
Gender: FEMALE

Individual NPI: 1285882159

Calendar   Last Updated:  2013-08-12
  Certification Date: 

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
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NJ D20252