Organization
GOOD CHOI'S DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNGWON CHOI D.M.D. (GENERAL DENTIST/CLINIC OWNER)
(571) 234-2831
Entity
Organization
Contact information
Practice address
10555 CRESTWOOD DR., UNIT B, MANASSAS, VA 20109
(571) 234-2831
Mailing address
10555 CRESTWOOD DR., UNIT B, MANASSAS, VA 20109
(571) 234-2831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411171
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093879280
—
VA
Enumeration date
07/31/2015
Last updated
07/31/2015
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