Provider Demographics
NPI:1669173407
Name:DELL'ACQUA CHOI DENTAL PARTNERSHIP
Entity type:Organization
Organization Name:DELL'ACQUA CHOI DENTAL PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUNHO
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:760-346-8056
Mailing Address - Street 1:74133 EL PASEO STE D
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-4123
Mailing Address - Country:US
Mailing Address - Phone:760-346-8056
Mailing Address - Fax:
Practice Address - Street 1:74133 EL PASEO STE D
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-4123
Practice Address - Country:US
Practice Address - Phone:760-346-8056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental