Individual
JAE CHOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
701 E PALISADE AVE, SUITE 200, ENGLEWOOD CLIFFS, NJ 07632-3055
(201) 541-0090
Mailing address
701 E PALISADE AVE, SUITE 200, ENGLEWOOD CLIFFS, NJ 07632-3055
(201) 541-0090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
050484
NY
1223G0001X
General Practice Dentistry
Primary
22DI02238200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02413418
—
NY
Enumeration date
07/18/2007
Last updated
03/24/2008
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