MJ Roh DDS Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MJ ROH DDS DENTAL CORPORATION

Practice address

5914 Pacific Blvd
Huntington Park, CA 90255-2929

Phone

(323) 734-2284

Fax

(323) 734-3178

NPI assigned

Aug 13, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeong Ho Roh, DDS

Title

President

Phone

(213) 268-9274

Specialties & licenses 1

Addresses

Other names 1

• PACIFIC CHOICE DENTAL Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1972159242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552929",
            "telephone_number": "323-734-2284",
            "fax_number": "323-734-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5914 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552929",
            "telephone_number": "323-734-2284",
            "fax_number": "323-734-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ ROH DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "ROH",
        "authorized_official_first_name": "JEONG HO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-268-9274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACIFIC CHOICE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Mire
• Lili Mirtorabi, D.D.S.,M.S
• Misner Dental Corp
• Misner Dental Group Inc
• Raj Mistry, RPH
• Payam Mojab, D.D.S.
• Carlos Pedro Mojica
• Mary Melissa Mojica
• Lizbeth Patricia Mollinedo
• Sean Monaco, PA

• Dental Clinic/Center in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.