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General NPI Number Information
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NPI Number | 1154058774
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Entity Type | Organization
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Legal Business Name | K. CHOI DDS INC
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 1295 S LA BREA AVE STE 101
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City | INGLEWOOD
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State | CA
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Zip | 90301-0972
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Country | US
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Telephone | 818-671-7268
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Fax |
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Provider Business Mailing Address
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Address Line | 13346 CHASE ST
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City | ARLETA
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State | CA
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Zip | 91331-5719
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Country | US
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Telephone | 818-671-7268
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Fax |
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Authorized Official
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Title or Position | CEO, CFO, SECRETARY
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Name | KEVIN SUNG AH CHOI
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Credential | DDS
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Telephone | 818-671-7268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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