Provider Demographics
NPI:1275041048
Name:C CHOO DDS INC
Entity Type:Organization
Organization Name:C CHOO DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHOO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:209-329-5619
Mailing Address - Street 1:7001 GREENBACK LN
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95621-5547
Mailing Address - Country:US
Mailing Address - Phone:916-726-7100
Mailing Address - Fax:209-883-4499
Practice Address - Street 1:7001 GREENBACK LN
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95621-5547
Practice Address - Country:US
Practice Address - Phone:916-726-7100
Practice Address - Fax:209-883-4499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-16
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34824122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty