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Individual

JOHN CHOI I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DN60731854

Contact information

Practice address
1251 AUBURN WAY N, AUBURN, WA 98002-4148
(833) 900-1050
(909) 621-3125
Mailing address
9597 CENTRAL AVE, MONTCLAIR, CA 91763-2424
(833) 900-1050
(909) 621-3125

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN60737854
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DN60737854
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
05/24/2018
Last updated
05/24/2018
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