Individual
CLARICE JACLYN CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 DIVISION ST, DERBY, CT 06418-1447
(475) 339-7997
Mailing address
36 DIVISION ST, DERBY, CT 06418-1447
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
13916
CT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13916
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2023
Last updated
10/19/2025
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