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NPI Code Detail

MEDICARE: SLGI CHOI RDH

MEDICARE: SLGI CHOI RDH
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
1124Q00000XDental Hygienist21596TX

General Provider Information

NPI Number : 1801358924
Entity Type Code : Individual
Provider Name (Legal Business Name) : SLGI CHOI RDH
Provider Business Mailing Address
First Line : 12409 TIERRA CIPRES DR
Second Line :
City : EL PASO
State : TX
Zip : 79938-4529
Country : US
Telephone Number : 915-408-6552
Fax Number :
Provider Business Practice Location Address
First Line : 12409 TIERRA CIPRES DR
Second Line :
City : EL PASO
State : TX
Zip : 79938-4529
Country : US
Telephone Number : 915-408-6552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2019
Last Update Date : 04/05/2019

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Directions to “ SLGI CHOI RDH” Practice Location

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