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General NPI Number Information
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NPI Number | 1467965798
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Entity Type | Organization
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Legal Business Name | SOUNG HOON CHO DDS. INC
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 03/01/2025
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Provider Practice Location Address
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Address Line | 1025 S ALVARADO ST
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City | LOS ANGELES
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State | CA
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Zip | 90006-3711
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Country | US
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Telephone | 323-660-2005
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Fax | 323-660-2022
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Provider Business Mailing Address
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Address Line | 1025 S ALVARADO ST
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City | LOS ANGELES
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State | CA
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Zip | 90006-3711
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Country | US
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Telephone | 323-660-2005
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Fax | 323-660-2022
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SOUNGHOON CHO
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Credential | DDS
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Telephone | 323-660-2005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 54401
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License Number State | CA
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