Provider Demographics
NPI:1841972718
Name:SUN HAE CHOI, DMD, DENTAL CORP.
Entity type:Organization
Organization Name:SUN HAE CHOI, DMD, DENTAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUN HAE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-877-0389
Mailing Address - Street 1:5296 GOLDEN RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-6422
Mailing Address - Country:US
Mailing Address - Phone:617-877-0389
Mailing Address - Fax:
Practice Address - Street 1:185 FRONT ST STE 106
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-3323
Practice Address - Country:US
Practice Address - Phone:925-837-8555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental