Individual
DR. JAEWOONG CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
432 SAMUELS AVE APT 2305, FORT WORTH, TX 76102-2483
(574) 309-2579
Mailing address
432 SAMUELS AVE APT 2305, FORT WORTH, TX 76102-2483
(574) 309-2579
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32516
TX
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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