MEDICARE: DR. JOSHUA CHO DMD

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	390200000X	Student in an Organized Health Care Education/Training Program
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DS042778	PA

General Provider Information

NPI Number	:	1780207787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA CHO DMD

Provider Business Mailing Address
First Line	:	UNIT 100111 BOX 1
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96629-1100
Country	:	US
Telephone Number	:	619-545-5802
Fax Number	:

Provider Business Practice Location Address
First Line	:	UNIT 100111 BOX 1
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96629-1100
Country	:	US
Telephone Number	:	619-545-5802
Fax Number	:

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

Provider Enumeration Date	:	05/26/2020
Last Update Date	:	09/10/2024

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