Individual
JAEYOUNG CHOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-0332
Mailing address
2133 PEPPERRELL ST BLDG 3352, SAN ANTONIO, TX 78236-5313
(210) 292-6258
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38951
TX
122300000X
Dentist
DEN.00205276
CO
390200000X
Student in an Organized Health Care Education/Training Program
38951
TX
Other
Enumeration date
07/07/2022
Last updated
08/22/2023
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