Provider Demographics
NPI:1326260092
Name:BENJAMIN HK CHOY DDS A PROFESSIOANL DENTAL CORPORATION
Entity Type:Organization
Organization Name:BENJAMIN HK CHOY DDS A PROFESSIOANL DENTAL CORPORATION
Other - Org Name:DR.BENJAMIN HK CHOY & DR.MARIA JESUSA T.CHOY DENTAL OFFICE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:HK
Authorized Official - Last Name:CHOY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-965-3338
Mailing Address - Street 1:1380 FULLERTON RD.
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-1280
Mailing Address - Country:US
Mailing Address - Phone:626-965-3338
Mailing Address - Fax:626-965-3223
Practice Address - Street 1:1380 FULLERTON RD.
Practice Address - Street 2:SUITE 201
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-1280
Practice Address - Country:US
Practice Address - Phone:626-965-3338
Practice Address - Fax:626-965-3223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA397721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty