Provider Demographics
NPI:1326463084
Name:CHO, SEUNG YON (DDS)
Entity Type:Individual
Prefix:DR
First Name:SEUNG YON
Middle Name:
Last Name:CHO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ABIGAEL
Other - Middle Name:
Other - Last Name:CHO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:2001 UNION ST STE 385
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-4130
Mailing Address - Country:US
Mailing Address - Phone:415-563-1600
Mailing Address - Fax:
Practice Address - Street 1:2001 UNION ST STE 385
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4130
Practice Address - Country:US
Practice Address - Phone:415-563-1600
Practice Address - Fax:415-914-0791
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-04
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64303122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA64303OtherDENTAL LICENSE