Provider Demographics
NPI:1306279914
Name:CHOO, ESTHER (DMD)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:CHOO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:US ARMY DENTAL ACTIVITY BAVARIA
Mailing Address - Street 2:UNIT28038
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09112
Mailing Address - Country:US
Mailing Address - Phone:0114963719-464-3965
Mailing Address - Fax:
Practice Address - Street 1:US ARMY DENTAL ACTIVITY BAVARIA
Practice Address - Street 2:UNIT28038
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09112
Practice Address - Country:US
Practice Address - Phone:0114963719-464-3965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-19
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY9351122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist