Provider Demographics
NPI:1285624718
Name:CHOE, CHRISTOPHER S (DMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:S
Last Name:CHOE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2426 EASTCHESTER RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-5916
Mailing Address - Country:US
Mailing Address - Phone:718-325-3250
Mailing Address - Fax:718-225-2686
Practice Address - Street 1:2426 EASTCHESTER RD
Practice Address - Street 2:SUITE 207
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5916
Practice Address - Country:US
Practice Address - Phone:718-325-3250
Practice Address - Fax:718-225-2686
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY490711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice