Provider Demographics
NPI:1245756063
Name:CHO DDS DENTAL CORPORATION
Entity Type:Organization
Organization Name:CHO DDS DENTAL CORPORATION
Other - Org Name:KMC DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SOUNGHOON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-333-3000
Mailing Address - Street 1:16388 COLIMA RD
Mailing Address - Street 2:#201
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-5338
Mailing Address - Country:US
Mailing Address - Phone:626-333-3000
Mailing Address - Fax:626-333-3335
Practice Address - Street 1:16388 COLIMA RD
Practice Address - Street 2:#201
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-5338
Practice Address - Country:US
Practice Address - Phone:626-333-3000
Practice Address - Fax:626-333-3335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-15
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty