Organization
MARK CHOI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CHOI (PRESIDENT)
(707) 422-8360
Entity
Organization
Contact information
Practice address
2500 N TEXAS ST, SUITE C, FAIRFIELD, CA 94533-1639
(707) 422-8360
Mailing address
2500 N TEXAS ST, FAIRFIELD, CA 94533-1639
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
41904
CA
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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