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NPI 1790998649

NPI 1790998649 : PATRICIA SING CHOI DDS, MS, INC : FREMONT, CA

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General NPI Number Information
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    NPI Number           |    1790998649
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    Entity Type          |    Organization 
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    Legal Business Name  |    PATRICIA SING CHOI DDS, MS, INC 
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Dates
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    Enumeration Date     |    05/08/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    2111 PARKSIDE DR SUITE A
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    City                 |    FREMONT
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    State                |    CA
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    Zip                  |    94536-5221
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    Country              |    US
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    Telephone            |    510-792-2333
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2111 PARKSIDE DR SUITE A
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    City                 |    FREMONT
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    State                |    CA
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    Zip                  |    94536-5221
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    Country              |    US
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    Telephone            |    510-792-2333
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    DR. PATRICIA SING CHOI 
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    Credential           |    DDS, MS
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    Telephone            |    510-792-2333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    43733
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    License Number State |    CA
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