Provider Demographics
NPI:1902825052
Name:CHOE, WOO-JUNG (DDS)
Entity Type:Individual
Prefix:DR
First Name:WOO-JUNG
Middle Name:
Last Name:CHOE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13739 STEELE CREEK RD
Mailing Address - Street 2:#100
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-6841
Mailing Address - Country:US
Mailing Address - Phone:704-587-1010
Mailing Address - Fax:704-587-0808
Practice Address - Street 1:13739 STEELE CREEK RD
Practice Address - Street 2:#100
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-6841
Practice Address - Country:US
Practice Address - Phone:704-587-1010
Practice Address - Fax:704-587-0808
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC75911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice