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Individual

DR. ELISA JUNGEUN CHOI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3030 N BALLARD RD, APPLETON, WI 54911-8707
(920) 954-8085
Mailing address
4916 N TURNBERRY DR, APPLETON, WI 54913-8680
(920) 202-3921
(920) 202-3921

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019025791
IL
1223G0001X
General Practice Dentistry
Primary
6340-015
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1005537
IL
Enumeration date
03/27/2007
Last updated
06/04/2010
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