Provider Demographics
NPI:1942929187
Name:POMONA FAMILY DENTAL DAVID A CHOI DDS A DENTAL CORPORATION
Entity Type:Organization
Organization Name:POMONA FAMILY DENTAL DAVID A CHOI DDS A DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:AHN
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-629-9741
Mailing Address - Street 1:920 NORTH GAREY AVENUE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-4618
Mailing Address - Country:US
Mailing Address - Phone:909-629-9741
Mailing Address - Fax:909-622-4535
Practice Address - Street 1:920 NORTH GAREY AVENUE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-4618
Practice Address - Country:US
Practice Address - Phone:909-629-9741
Practice Address - Fax:909-622-4535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty