Provider Demographics
NPI:1033245279
Name:LUKE K. CHOI, DDS, MS, INC.
Entity Type:Organization
Organization Name:LUKE K. CHOI, DDS, MS, INC.
Other - Org Name:DR. SMILE DENTISTRY & BRACES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-871-7000
Mailing Address - Street 1:1001 E CHAPMAN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-3811
Mailing Address - Country:US
Mailing Address - Phone:714-871-7000
Mailing Address - Fax:714-871-7080
Practice Address - Street 1:1001 E CHAPMAN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-3811
Practice Address - Country:US
Practice Address - Phone:714-871-7000
Practice Address - Fax:714-871-7080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty