Individual
JOHN CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 GREENRIDGE AVE, WHITE PLAINS, NY 10605-1237
(914) 949-8814
Mailing address
103 GARDEN ST, ROSLYN HEIGHTS, NY 11577-1009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061846
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
08/20/2021
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