Provider Demographics
NPI:1427556885
Name:BETTER CHOICE DENTAL
Entity Type:Organization
Organization Name:BETTER CHOICE DENTAL
Other - Org Name:BETTER CHOICE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAE WOO
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:657-231-6106
Mailing Address - Street 1:3760 W MCFADDEN AVE STE D
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-1392
Mailing Address - Country:US
Mailing Address - Phone:657-231-6106
Mailing Address - Fax:
Practice Address - Street 1:3760 W MCFADDEN AVE STE D
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-1392
Practice Address - Country:US
Practice Address - Phone:657-231-6106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA531221223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty