Provider Demographics
NPI:1225041460
Name:CHO, TIM (DDS)
Entity Type:Individual
Prefix:DR
First Name:TIM
Middle Name:
Last Name:CHO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 LANE DR STE 3
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-2263
Mailing Address - Country:US
Mailing Address - Phone:281-342-1601
Mailing Address - Fax:281-342-1408
Practice Address - Street 1:117 LANE DR STE 3
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-2263
Practice Address - Country:US
Practice Address - Phone:281-342-1601
Practice Address - Fax:281-342-1408
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice