Provider Demographics
NPI:1962816793
Name:JAMES JANGWON CHOI DDS PS
Entity type:Organization
Organization Name:JAMES JANGWON CHOI DDS PS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JANGWON
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-747-8340
Mailing Address - Street 1:1855 156TH AVE NE
Mailing Address - Street 2:SUITE # 210
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-4386
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1855 156TH AVE NE
Practice Address - Street 2:SUITE # 210
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4386
Practice Address - Country:US
Practice Address - Phone:425-747-8340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-19
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE87471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty