Healthcare Provider Details

I. General information

NPI: 1639447410
Provider Name (Legal Business Name): YOUNG AH CHOI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2011
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

449 MASSACHUSETTS AVE
ARLINGTON MA
02474-5103
US

IV. Provider business mailing address

449 MASSACHUSETTS AVE
ARLINGTON MA
02474-5103
US

V. Phone/Fax

Practice location:
  • Phone: 617-607-2083
  • Fax: 617-607-2083
Mailing address:
  • Phone: 617-607-2083
  • Fax: 617-714-9808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN1855878
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: