Provider Demographics
NPI:1477908564
Name:DR. TINA K. CHO DDS PLLC
Entity Type:Organization
Organization Name:DR. TINA K. CHO DDS PLLC
Other - Org Name:NEW CITY DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-486-8421
Mailing Address - Street 1:2 OMNI CT
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-5211
Mailing Address - Country:US
Mailing Address - Phone:845-634-5925
Mailing Address - Fax:845-634-8242
Practice Address - Street 1:2 OMNI CT
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-5211
Practice Address - Country:US
Practice Address - Phone:845-634-5925
Practice Address - Fax:845-634-8242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-26
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055952261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental