Provider Demographics
NPI:1881089316
Name:CHOI, SUNNIE SUN-YOUNG (DDS)
Entity type:Individual
Prefix:DR
First Name:SUNNIE
Middle Name:SUN-YOUNG
Last Name:CHOI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SUN-YOUNG
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:11351 RANDOM HILLS RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6081
Mailing Address - Country:US
Mailing Address - Phone:703-691-2221
Mailing Address - Fax:703-691-3215
Practice Address - Street 1:11351 RANDOM HILLS RD
Practice Address - Street 2:SUITE 102
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6081
Practice Address - Country:US
Practice Address - Phone:703-691-2221
Practice Address - Fax:703-691-3215
Is Sole Proprietor?:No
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401411459122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist