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NPI 1407774490

NPI 1407774490 : DR. SEONGWON CHOI PLLC. : MARYSVILLE, WA

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General NPI Number Information
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    NPI Number           |    1407774490
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR. SEONGWON CHOI PLLC. 
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Dates
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    Enumeration Date     |    07/07/2026
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    Last Update Date     |    07/07/2026
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Provider Practice Location Address
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    Address Line         |    17103 28TH DR NE STE 104 
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    City                 |    MARYSVILLE
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    State                |    WA
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    Zip                  |    98271-4830
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    Country              |    US
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    Telephone            |    360-208-0492
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    960 W 7TH ST APT 2801 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90017-6079
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SEONGWON  CHOI 
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    Credential           |    
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    Telephone            |    213-414-9820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223E0200X
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    Taxonomy Name        |    Endodontics
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    License Number       |    
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    License Number State |    
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