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General NPI Number Information
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NPI Number | 1184886475
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Entity Type | Organization
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Legal Business Name | CHO & CHO DENTAL GROUP INC
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 2448 W WHITTIER BLVD
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City | LA HABRA
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State | CA
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Zip | 90631-3407
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Country | US
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Telephone | 562-694-0553
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Fax | 562-694-8232
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Provider Business Mailing Address
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Address Line | 2448 W WHITTIER BLVD
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City | LA HABRA
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State | CA
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Zip | 90631-3407
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Country | US
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Telephone | 562-694-0553
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Fax | 562-694-8232
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Authorized Official
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Title or Position | CEO
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Name | YONG TAE CHO
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Credential |
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Telephone | 562-694-0553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 50738
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 50582
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License Number State | CA
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