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General NPI Number Information
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NPI Number | 1336628361
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Entity Type | Organization
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Legal Business Name | JUNG CHOI DDS INC
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Dates
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Enumeration Date | 08/10/2018
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 300 S HIGHLAND SPRINGS AVE STE 2L
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City | BANNING
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State | CA
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Zip | 92220-6503
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Country | US
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Telephone | 951-769-7158
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Fax |
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Provider Business Mailing Address
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Address Line | 300 S HIGHLAND SPRINGS AVE STE 2L
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City | BANNING
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State | CA
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Zip | 92220-6503
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Country | US
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Telephone | 951-769-7158
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Fax | 951-769-7160
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Authorized Official
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Title or Position | CEO
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Name | DR. EUNJUNG J. JUNG CHOI
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Credential | DDS
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Telephone | 951-769-7158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | CA
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