Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 41906 | CA |
NPI | 1003982075 |
---|---|
Provider Name | Dr. Maria Jesusa Tecson Choy |
First Address | Chino, CA 91710-2603 |
Second Address | Chino, CA 91710-2603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 08/07/2007 |