Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 33148 | TX |
NPI | 1003339664 |
---|---|
Provider Name | Dr. Denise Hui-Ting Choo |
First Address | Minneapolis, MN 55486 |
Second Address | Plano, TX 75075-5718 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2017 |
Last Update Date | 03/08/2017 |