Provider Demographics
NPI:1992470603
Name:SYBICO, MELISSA CHOA (DDS)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:CHOA
Last Name:SYBICO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 DENTAL CO/US ARMY DENTAC-KOREA
Mailing Address - Street 2:UNIT 15652 ATTN: CREDENTIALS OFFICE
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96271
Mailing Address - Country:US
Mailing Address - Phone:253-968-4029
Mailing Address - Fax:
Practice Address - Street 1:618 DENTAL CO/US ARMY DENTAC-KOREA
Practice Address - Street 2:UNIT 15652 ATTN: CREDENTIALS OFFICE
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96271
Practice Address - Country:US
Practice Address - Phone:253-968-4029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-13
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12358016-9921122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist