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General NPI Number Information
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NPI Number | 1245756063
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Entity Type | Organization
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Legal Business Name | CHO DDS DENTAL CORPORATION
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 16388 COLIMA RD #201
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-5338
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Country | US
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Telephone | 626-333-3000
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Fax | 626-333-3335
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Provider Business Mailing Address
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Address Line | 16388 COLIMA RD #201
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-5338
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Country | US
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Telephone | 626-333-3000
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Fax | 626-333-3335
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Authorized Official
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Title or Position | PRESIDENT
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Name | SOUNGHOON CHO
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Credential | DDS
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Telephone | 626-333-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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