Provider Demographics
NPI:1881691855
Name:GOH, CHOON TECK (DMD)
Entity type:Individual
Prefix:DR
First Name:CHOON
Middle Name:TECK
Last Name:GOH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:PETER
Other - Middle Name:
Other - Last Name:GOH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:BFV DENTAL CLINIC MANNHEIM
Mailing Address - Street 2:UNIT 29940
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09086
Mailing Address - Country:US
Mailing Address - Phone:49621-730-4545
Mailing Address - Fax:49931-804-2524
Practice Address - Street 1:BFV DENTAL CLINIC
Practice Address - Street 2:UNIT 29940
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09086
Practice Address - Country:US
Practice Address - Phone:49621-730-4545
Practice Address - Fax:49931-804-2524
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00008396122300000X
ORD75691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist