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Organization
JIEUN CHOI DMD, PLLC
Active
Organization
JIEUN CHOI DMD, PLLC
Active
Other names
Lakeside Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JIEUN CHOI D.M.D. (OWNER)
(281) 861-0440
Entity
Organization
Contact information
Practice address
9202 BARKER CYPRESS RD, 115, CYPRESS, TX 77433-5290
(281) 861-0440
(281) 861-0110
Mailing address
9202 BARKER CYPRESS RD, 115, CYPRESS, TX 77433-5290
(281) 861-0440
(281) 861-0110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053630632
INDIVIDUAL NPI
TX
Enumeration date
01/29/2016
Last updated
01/29/2016
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