Provider Demographics
NPI:1588045728
Name:CHOI, YONG (DMD, MSD)
Entity type:Individual
Prefix:DR
First Name:YONG
Middle Name:
Last Name:CHOI
Suffix:
Gender:M
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17210 94TH PL NE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3922
Mailing Address - Country:US
Mailing Address - Phone:206-734-8055
Mailing Address - Fax:
Practice Address - Street 1:1533 GROVE ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-4325
Practice Address - Country:US
Practice Address - Phone:360-386-5055
Practice Address - Fax:360-386-5144
Is Sole Proprietor?:No
Enumeration Date:2015-06-13
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA605526761223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics