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General NPI Number Information
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NPI Number | 1710738554
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Entity Type | Organization
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Legal Business Name | MARK K CHOI DDS PC
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Dates
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Enumeration Date | 03/29/2024
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 8303 ARLINGTON BLVD STE 105
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City | FAIRFAX
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State | VA
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Zip | 22031-2903
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Country | US
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Telephone | 703-207-7077
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Fax | 703-207-7066
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Provider Business Mailing Address
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Address Line | 8303 ARLINGTON BLVD STE 105
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City | FAIRFAX
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State | VA
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Zip | 22031-2903
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Country | US
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Telephone | 703-207-7077
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Fax | 703-207-7066
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK K CHOI
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Credential | DDS
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Telephone | 703-207-7077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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