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General NPI Number Information
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NPI Number | 1548998073
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Entity Type | Organization
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Legal Business Name | DAVI Y CHOI DDS CORP
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Dates
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Enumeration Date | 08/11/2022
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 6216 BROCKTON AVE STE 112
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City | RIVERSIDE
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State | CA
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Zip | 92506-2208
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Country | US
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Telephone | 951-779-8862
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Fax | 951-888-1616
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Provider Business Mailing Address
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Address Line | 6216 BROCKTON AVE STE 112
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City | RIVERSIDE
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State | CA
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Zip | 92506-2208
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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 | DENTIST
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Name | DR. ANDREW CHOI
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Credential | DDS
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Telephone | 951-444-0999
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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