Provider Demographics
NPI:1770823650
Name:CHOU, JOESKY KY (DDS)
Entity type:Individual
Prefix:DR
First Name:JOESKY
Middle Name:KY
Last Name:CHOU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1418 POPENOE RD
Mailing Address - Street 2:
Mailing Address - City:LA HABRA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:90631-8434
Mailing Address - Country:US
Mailing Address - Phone:909-610-5956
Mailing Address - Fax:
Practice Address - Street 1:1418 POPENOE RD
Practice Address - Street 2:
Practice Address - City:LA HABRA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:90631-8434
Practice Address - Country:US
Practice Address - Phone:909-610-5956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB 263611223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics