Individual
DR. KEVIN HYUNG CHOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4434 E. BROWN RD STE 104, MESA, AZ 85205
(480) 654-3000
(480) 654-0303
Mailing address
4434 E. BROWN RD. STE 104, MESA, AZ 85205
(714) 573-7100
(714) 505-0101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
49496
CA
1223G0001X
General Practice Dentistry
Primary
8358
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1731906
UNITED CONCORDIA
CA
01
—
906134
DELTA DENTAL HEALTHY FAM
CA
05
—
G93335-01
—
CA
Enumeration date
01/05/2007
Last updated
11/30/2012
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