Provider Demographics
NPI:1619179900
Name:CHOI, HAROLD H (DDS)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:H
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 1:802 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-5329
Mailing Address - Country:US
Mailing Address - Phone:805-928-3333
Mailing Address - Fax:805-623-8524
Practice Address - Street 1:802 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-5329
Practice Address - Country:US
Practice Address - Phone:805-928-3333
Practice Address - Fax:805-623-8524
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist