Individual
KAREN CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 E WALNUT ST STE B, CARBONDALE, IL 62901-5000
(618) 529-2571
Mailing address
1111 E WALNUT ST STE B, CARBONDALE, IL 62901-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019032848
IL
1223G0001X
General Practice Dentistry
Primary
057489
NY
Other
Enumeration date
08/27/2014
Last updated
08/11/2021
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