Provider Demographics
NPI:1891939542
Name:CHOI, EUREE (DMD)
Entity Type:Individual
Prefix:DR
First Name:EUREE
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 CENTRAL FWY
Mailing Address - Street 2:APT 211
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76305-6609
Mailing Address - Country:US
Mailing Address - Phone:703-501-8467
Mailing Address - Fax:601-605-0127
Practice Address - Street 1:3711 GREGORY ST
Practice Address - Street 2:KOOL SMILES
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-1614
Practice Address - Country:US
Practice Address - Phone:940-228-0963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-24
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25354122300000X
PADS0377581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice