Provider Demographics
NPI:1144967571
Name:BEST CHOICE DENTURE CENTER PLLC
Entity type:Organization
Organization Name:BEST CHOICE DENTURE CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTURIST
Authorized Official - Prefix:
Authorized Official - First Name:YU RI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:LD
Authorized Official - Phone:206-819-4152
Mailing Address - Street 1:3716 PACIFIC AVE STE H
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98418-7836
Mailing Address - Country:US
Mailing Address - Phone:253-328-4986
Mailing Address - Fax:253-503-7243
Practice Address - Street 1:3716 PACIFIC AVE STE H
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98418-7836
Practice Address - Country:US
Practice Address - Phone:253-328-4986
Practice Address - Fax:253-503-7243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122400000XDental ProvidersDenturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1578008363Medicaid