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Organization

ONE DENTAL SPECIALTIES

Active
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Organization

ONE DENTAL SPECIALTIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOON HO CHOE D.D.S. (DENTIST)
(213) 381-2828
Entity
Organization

Contact information

Practice address
621 S WESTERN AVE, SUITE 116, LOS ANGELES, CA 90005-3039
(213) 381-2828
(213) 381-2882
Mailing address
621 S WESTERN AVE, SUITE 116, LOS ANGELES, CA 90005-3039
(213) 381-2828
(213) 381-2882

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50451
CA
1223P0300X
Periodontics
51096
CA
1223P0700X
Prosthodontics
47496
CA

Other

Enumeration date
05/31/2012
Last updated
05/31/2012
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