Provider Demographics
NPI:1457626830
Name:LEE & CHOI DDS, INC.
Entity Type:Organization
Organization Name:LEE & CHOI DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KYUNG DUK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-596-4811
Mailing Address - Street 1:1025 SENTINEL DR STE 202A
Mailing Address - Street 2:
Mailing Address - City:LA VERNE
Mailing Address - State:CA
Mailing Address - Zip Code:91750-3280
Mailing Address - Country:US
Mailing Address - Phone:909-596-4811
Mailing Address - Fax:909-596-5102
Practice Address - Street 1:1025 SENTINEL DR STE 202A
Practice Address - Street 2:
Practice Address - City:LA VERNE
Practice Address - State:CA
Practice Address - Zip Code:91750-3280
Practice Address - Country:US
Practice Address - Phone:909-596-4811
Practice Address - Fax:909-596-5102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA583451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty