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General NPI Number Information
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NPI Number | 1346494143
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Entity Type | Organization
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Legal Business Name | YOUNG CHOI DENTAL GROUP
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Dates
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Enumeration Date | 11/06/2008
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Last Update Date | 11/06/2008
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Provider Practice Location Address
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Address Line | 3201 W OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90006-2316
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Country | US
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Telephone | 213-384-2828
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Fax | 213-384-0411
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Provider Business Mailing Address
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Address Line | 3201 W OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90006-2316
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Country | US
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Telephone | 213-384-2828
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Fax | 213-384-0411
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. YOUNG H CHOI
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Credential | DDS
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Telephone | 213-384-2828
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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 | 38822
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License Number State | CA
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