Provider Demographics
NPI:1114447869
Name:CHOY, CHERRY (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHERRY
Middle Name:
Last Name:CHOY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4036 8TH AVE NE APT D4
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-6497
Mailing Address - Country:US
Mailing Address - Phone:206-694-3727
Mailing Address - Fax:
Practice Address - Street 1:359 MEDICAL GROUP
Practice Address - Street 2:221 3RD STREET WEST
Practice Address - City:RANDOLPH AFB
Practice Address - State:TX
Practice Address - Zip Code:78150
Practice Address - Country:US
Practice Address - Phone:210-652-1846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-23
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35653122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist