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General NPI Number Information
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NPI Number | 1659752038
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Entity Type | Individual
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Provider Name | DAVID YOUNG CHO D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/11/2015
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 34800 BOB WILSON DR
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City | SAN DIEGO
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State | CA
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Zip | 92134-2017
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Country | US
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Telephone | 619-532-6867
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Fax |
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Provider Business Mailing Address
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Address Line | 4375 GEORGIA ST UNIT 300
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City | SAN DIEGO
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State | CA
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Zip | 92103-2597
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Country | US
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Telephone | 949-400-9426
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 286500000X
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Taxonomy Name | Military Hospital
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 31291
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License Number State | TX
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