MEDICARE: DR. WHEE S CHO D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5148	AZ

General Provider Information

NPI Number	:	1952464778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WHEE S CHO D.D.S.

Provider Business Mailing Address
First Line	:	6126 E DANBURY RD
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-6431
Country	:	US
Telephone Number	:	480-659-5494
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 W GROVE AVE STE 115
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-4942
Country	:	US
Telephone Number	:	480-964-2724
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	07/17/2007

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