Provider Demographics
NPI:1255365516
Name:CHOI, HOWARD JOONHO (DDS)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:JOONHO
Last Name:CHOI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:JOON HO
Other - Middle Name:
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:5456 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-1234
Mailing Address - Country:US
Mailing Address - Phone:714-522-0663
Mailing Address - Fax:714-522-0643
Practice Address - Street 1:5456 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-1234
Practice Address - Country:US
Practice Address - Phone:714-522-0663
Practice Address - Fax:714-522-0643
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA239711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice