Organization
JAE W. CHOI DDS PLLC
Active
Other names
Mcloud Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE WOO CHOI D.D.S (OWNER/DENTIST)
(405) 314-0449
Entity
Organization
Contact information
Practice address
806 S 8TH ST, MCLOUD, OK 74851-8628
(405) 395-2020
(405) 395-2608
Mailing address
806 S. 8TH ST., MCLOUD, OK 74851
(405) 395-2020
(405) 395-2608
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6704
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200551660A
—
OK
05
—
200585480A
—
OK
Enumeration date
10/27/2016
Last updated
10/27/2016
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