Individual
JIAH CHOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 E 72ND ST OFC B, NEW YORK, NY 10021-4753
(212) 988-1089
Mailing address
360 E 72ND ST OFC B, NEW YORK, NY 10021-4753
(212) 988-1089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
055606
NY
Other
Enumeration date
03/20/2012
Last updated
12/17/2021
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