MEDICARE: DR. DAVID W. CHO DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	27423	TX
2	1223G0001X	General Practice Dentistry	52839	CA

General Provider Information

NPI Number	:	1306955455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID W. CHO DDS

Provider Business Mailing Address
First Line	:	200 S. BEAUCHAMP BLVD
Second Line	:	#104
City	:	PRINCETON
State	:	TX
Zip	:	75407
Country	:	US
Telephone Number	:	972-736-6226
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 S. BEAUCHAMP BLVD
Second Line	:	SUITE 104
City	:	PRINCETON
State	:	TX
Zip	:	75407
Country	:	US
Telephone Number	:	972-736-6226
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/21/2022

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