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Organization
JAE W. CHOI DDS PLLC
Active
Organization
JAE W. CHOI DDS PLLC
Active
Other names
Mcloud Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE WOO CHOI D.D.S (OWNER/DENTIST)
(405) 314-0449
Entity
Organization
Contact information
Practice address
806 S 8TH ST, MCLOUD, OK 74851-8628
(405) 395-2020
(405) 395-2608
Mailing address
806 S. 8TH ST., MCLOUD, OK 74851
(405) 395-2020
(405) 395-2608
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6704
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200551660A
—
OK
05
—
200585480A
—
OK
Enumeration date
10/27/2016
Last updated
10/27/2016
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