| Chunkeun Choi Dds Inc | |
|
2121 Redwood St Ste A Vallejo CA 94590-3603 | |
| (707) 644-7600 | |
| (707) 450-0734 |
| Full Name | Chunkeun Choi Dds Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2121 Redwood St Ste A, Vallejo, California |
| Authorized Official Name and Position | Chunkeun Choi (SOLE OWNER) |
| Authorized Official Contact | 7074808867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chunkeun Choi Dds Inc 2121 Redwood St Ste A Vallejo CA 94590-3603 Ph: (707) 644-7600 | Chunkeun Choi Dds Inc 2121 Redwood St Ste A Vallejo CA 94590-3603 Ph: (707) 644-7600 |
| NPI Number | 1801212691 |
|---|---|
| Provider Enumeration Date | 03/17/2014 |
| Last Update Date | 04/25/2024 |
| Medicare PECOS PAC ID | 1254701857 |
|---|---|
| Medicare Enrollment ID | O20221222001586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801212691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 56902 (California) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Chunkeun Choi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013180520 PECOS PAC ID: 7911289277 Enrollment ID: I20221222001700 |
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