| NPI | 1003963398 | 
|---|---|
| Former Name | HUNG SEOK CHOI | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 8358) | 
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 49496) | 
| Enumeration Date | 2007-01-05 | 
| Last Update Date | 2012-11-30 |