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General NPI Number Information
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NPI Number | 1346376746
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Entity Type | Organization
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Legal Business Name | LUKE K. CHOI, DDS, MS, INC.
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1306 S MAIN ST
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City | SANTA ANA
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State | CA
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Zip | 92707-1715
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Country | US
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Telephone | 714-542-7272
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Fax |
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Provider Business Mailing Address
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Address Line | 1306 S MAIN ST
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City | SANTA ANA
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State | CA
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Zip | 92707-1715
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Country | US
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Telephone | 714-542-7272
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUKE CHOI
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Credential | DDS
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Telephone | 714-542-7242
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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 | 34316
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License Number State | CA
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