Doctor Name: | DR. OTTO MYUNGHO CHOI |
NPI Number: | 1285895789 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S. |
License Number: | 22DI02426001 |
Business Practice Address: | 2929 Klockner Rd Hamilton Square, NJ - 086902809 |
Business Phone Number: | 6095866603 |
Business Fax Number: | 6095861801 |
Mailing Address: | 90 Marion Dr, PLAINSBORO |
State: | NJ |
Postal Code: | 085362016 |
Phone Number: | 6092695760 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2008 |
NPI Last Update Date: | 12/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 22DI02426001 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |