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General NPI Number Information
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NPI Number | 1477923100
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Entity Type | Organization
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Legal Business Name | HB CHO DDS, INC
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 6115 PACIFIC BLVD
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255
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Country | US
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Telephone | 323-844-3368
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Fax |
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Provider Business Mailing Address
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Address Line | 6115 PACIFIC BLVD
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255
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Country | US
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Telephone | 323-844-3368
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HYUNBAE CHO
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Credential | DDS
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Telephone | 520-904-8909
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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 | 64165
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License Number State | CA
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