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General NPI Number Information
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NPI Number | 1588045728
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Entity Type | Individual
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Provider Name | YONG CHOI DMD, MSD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2015
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 1533 GROVE ST
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City | MARYSVILLE
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State | WA
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Zip | 98270-4325
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Country | US
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Telephone | 360-386-5055
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Fax | 360-386-5144
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Provider Business Mailing Address
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Address Line | 17210 94TH PL NE
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City | BOTHELL
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State | WA
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Zip | 98011-3922
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Country | US
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Telephone | 206-734-8055
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 60552676
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License Number State | WA
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