Organization
NTDS GRAPEVINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CHOI (PERIODONTIST)
(817) 251-4888
Entity
Organization
Contact information
Practice address
1600 W NORTHWEST HWY STE 200, GRAPEVINE, TX 76051-8135
(817) 251-4888
(817) 251-9777
Mailing address
5980 CHARLESTOWN DR, DALLAS, TX 75230-1706
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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