Provider Demographics
NPI:1326166901
Name:CHOI, KYUNG HYE (DDS)
Entity Type:Individual
Prefix:DR
First Name:KYUNG
Middle Name:HYE
Last Name:CHOI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CONNIE
Other - Middle Name:
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:1928 TYLER AVE
Mailing Address - Street 2:SUIT #D-168
Mailing Address - City:S. EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733
Mailing Address - Country:US
Mailing Address - Phone:626-443-7922
Mailing Address - Fax:626-443-7926
Practice Address - Street 1:1928 TYLER AVE
Practice Address - Street 2:SUIT #D-168
Practice Address - City:S EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-3622
Practice Address - Country:US
Practice Address - Phone:626-443-7922
Practice Address - Fax:626-443-7926
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA405601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice