MEDICARE: ROBERT CHOE 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	1223P0700X	Prosthodontics	DEN1001999	DC

General Provider Information

NPI Number	:	1902440027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT CHOE DMD

Provider Business Mailing Address
First Line	:	1405 S FERN ST # 524
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202-2810
Country	:	US
Telephone Number	:	919-740-9947
Fax Number	:

Provider Business Practice Location Address
First Line	:	4123 RIVER RD NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-4617
Country	:	US
Telephone Number	:	919-740-9947
Fax Number	:

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

Provider Enumeration Date	:	10/31/2019
Last Update Date	:	10/31/2019

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