Provider Demographics
NPI:1942731013
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:COODINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-337-4410
Mailing Address - Street 1:17827 COLIMA RD
Mailing Address - Street 2:
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91748-1729
Mailing Address - Country:US
Mailing Address - Phone:626-965-7888
Mailing Address - Fax:
Practice Address - Street 1:17827 COLIMA RD
Practice Address - Street 2:
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91748-1729
Practice Address - Country:US
Practice Address - Phone:626-965-7888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAROLD CHOI DDS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-03-21
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty