Healthcare Provider Details

I. General information

NPI: 1477330090
Provider Name (Legal Business Name): BYUN AND CHOI DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2023
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

649 W IMPERIAL HWY STE H
BREA CA
92821-3838
US

IV. Provider business mailing address

649 W IMPERIAL HWY STE H
BREA CA
92821-3838
US

V. Phone/Fax

Practice location:
  • Phone: 714-529-1279
  • Fax:
Mailing address:
  • Phone: 714-529-1279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JETAN PATEL
Title or Position: DENTIST
Credential: DDS
Phone: 562-967-0126