Provider Demographics
NPI:1457480675
Name:CHOI, QUHO (DDS)
Entity Type:Individual
Prefix:
First Name:QUHO
Middle Name:
Last Name:CHOI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 NEW HACKENSACK RD
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-1325
Mailing Address - Country:US
Mailing Address - Phone:845-297-9959
Mailing Address - Fax:845-297-9147
Practice Address - Street 1:11 NEW HACKENSACK RD
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-1325
Practice Address - Country:US
Practice Address - Phone:845-297-9959
Practice Address - Fax:845-297-9147
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051395122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist