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NPI 1477023869

NPI 1477023869 : MYUNG SOO CHOI DDS. PLLC : FRISCO, TX

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General NPI Number Information
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    NPI Number           |    1477023869
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    Entity Type          |    Organization 
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    Legal Business Name  |    MYUNG SOO CHOI DDS. PLLC 
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Dates
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    Enumeration Date     |    11/28/2018
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    Last Update Date     |    11/28/2018
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Provider Practice Location Address
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    Address Line         |    9292 WARREN PKWY # 380 
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75035-8740
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    Country              |    US
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    Telephone            |    469-362-6088
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    Fax                  |    469-362-6066
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Provider Business Mailing Address
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    Address Line         |    9292 WARREN PKWY # 380 
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75035-8740
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    Country              |    US
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    Telephone            |    469-362-6088
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    Fax                  |    469-362-6066
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. MYUNG SOO  CHOI 
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    Credential           |    DDS.MS
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    Telephone            |    469-362-6088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223P0700X
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    Taxonomy Name        |    Prosthodontics
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    1223P0300X
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    Taxonomy Name        |    Periodontics
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    License Number       |    
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    License Number State |    
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