Individual
CHARLES JAE CHOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3500 CENTER POINT RD NE, SUITE3, CEDAR RAPIDS, IA 52402-5566
(319) 393-4828
(319) 393-5816
Mailing address
3500 CENTER POINT RD NE STE 3, CEDAR RAPIDS, IA 52402-5566
(319) 393-4828
(319) 393-5816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6642
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035022
—
IA
Enumeration date
08/03/2006
Last updated
07/08/2007
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