Provider Demographics
NPI:1497064240
Name:CHO, SANG-CHOON (DDS)
Entity Type:Individual
Prefix:DR
First Name:SANG-CHOON
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 1:110 BLEECKER ST
Mailing Address - Street 2:15B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-2101
Mailing Address - Country:US
Mailing Address - Phone:212-777-4560
Mailing Address - Fax:212-992-7019
Practice Address - Street 1:460 SYLVAN AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-2919
Practice Address - Country:US
Practice Address - Phone:201-608-7000
Practice Address - Fax:201-816-1144
Is Sole Proprietor?:No
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI022360001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice