MEDICARE: LOK TIM CHOY DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	49080	CA

General Provider Information

NPI Number	:	1558397257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOK TIM CHOY DMD

Provider Business Mailing Address
First Line	:	555 W BENJAMIN HOLT DR
Second Line	:	BUILDING B
City	:	STOCKTON
State	:	CA
Zip	:	95207-3839
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1733 WOODSIDE RD STE 100
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94061-3462
Country	:	US
Telephone Number	:	650-716-4888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	09/17/2021

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