| Han Choi Dds Pllc | |
|
20542 N Lake Pleasant Rd Ste 113 Peoria AZ 85382-9749 | |
| (602) 884-8238 | |
| Not Available |
| Full Name | Han Choi Dds Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20542 N Lake Pleasant Rd Ste 113, Peoria, Arizona |
| Authorized Official Name and Position | Han Choi (DDS) |
| Authorized Official Contact | 9087832311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Han Choi Dds Pllc 20542 N Lake Pleasant Rd Ste 113 Peoria AZ 85382-9749 Ph: (602) 884-8238 | Han Choi Dds Pllc 20542 N Lake Pleasant Rd Ste 113 Peoria AZ 85382-9749 Ph: (602) 884-8238 |
| NPI Number | 1942899836 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 01/14/2021 |
| Medicare PECOS PAC ID | 8921497272 |
|---|---|
| Medicare Enrollment ID | O20211108002730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942899836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Han Choi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891040028 PECOS PAC ID: 6103186390 Enrollment ID: I20211006001929 |
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