Provider Demographics
NPI:1457440810
Name:CHO, KUAN- YU (DDS)
Entity Type:Individual
Prefix:
First Name:KUAN- YU
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 1:2243 S RAINBOW BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-2979
Mailing Address - Country:US
Mailing Address - Phone:702-365-0100
Mailing Address - Fax:702-365-0200
Practice Address - Street 1:2243 S RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-2979
Practice Address - Country:US
Practice Address - Phone:702-365-0100
Practice Address - Fax:702-365-0200
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV45901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice