Provider Demographics
NPI:1144469784
Name:CHO, SUNG W (DDS)
Entity type:Individual
Prefix:DR
First Name:SUNG
Middle Name:W
Last Name:CHO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:3701 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3611
Mailing Address - Country:US
Mailing Address - Phone:303-360-6276
Mailing Address - Fax:303-467-5355
Practice Address - Street 1:11005 RALSTON RD
Practice Address - Street 2:SUITE 202
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-4551
Practice Address - Country:US
Practice Address - Phone:303-360-6276
Practice Address - Fax:303-762-6552
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODEN.00009876122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist