Provider Demographics
NPI:1760842249
Name:HAROLD CHOI, DDS, INC.
Entity Type:Organization
Organization Name:HAROLD CHOI, DDS, INC.
Other - Org Name:BEAUTIFUL DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-287-6687
Mailing Address - Street 1:9675 LAS TUNAS DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-2103
Mailing Address - Country:US
Mailing Address - Phone:626-287-6687
Mailing Address - Fax:626-287-6685
Practice Address - Street 1:9675 LAS TUNAS DR
Practice Address - Street 2:
Practice Address - City:TEMPLE CITY
Practice Address - State:CA
Practice Address - Zip Code:91780-2103
Practice Address - Country:US
Practice Address - Phone:626-287-6687
Practice Address - Fax:626-287-6685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-26
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty