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Provider Information for 1396953949



DR. HYEONJU CHOI D.M.D

Other Name:   MICHAEL CHOI
Gender: MALE

Individual NPI: 1396953949

Calendar Last Updated: 2016-05-26

Details

Name Value
NPI 1396953949
Enumeration Date 2007-05-18
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 113 WATERWORKS WAY SUITE 120
IRVINE, CA 92618-3167
United States

Phone: 949-786-2820 | Fax:
View Map External Link
Primary Practice Address 113 WATERWORKS WAY 120
IRVINE, CA 92618-3167
United States

Phone: 949-786-2820 | Fax:
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 46042
Other Identifiers
Issuer State Number