Provider Demographics
NPI:1538248661
Name:CHOE, CHRISTINE H (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:H
Last Name:CHOE
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 1:40 04 BOWNE ST
Mailing Address - Street 2:SUITE #1C
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354
Mailing Address - Country:US
Mailing Address - Phone:718-460-4099
Mailing Address - Fax:718-460-6340
Practice Address - Street 1:40 04 BOWNE ST
Practice Address - Street 2:SUITE #1C
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354
Practice Address - Country:US
Practice Address - Phone:718-460-4099
Practice Address - Fax:718-460-6340
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042078 1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist