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NPI Code Detail

MEDICARE: GRACE CHOE

MEDICARE: GRACE CHOE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry0401416556VA

General Provider Information

NPI Number : 1851914980
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE CHOE
Provider Business Mailing Address
First Line : 5221 CHIPPING LN
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-6802
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2521 N LANDING RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-3460
Country : US
Telephone Number : 757-430-9448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2020
Last Update Date : 05/23/2020

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Directions to “ GRACE CHOE ” Practice Location

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