Provider Demographics
NPI:1548399686
Name:CHO, CAMERON CHRISTOPHER (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:CHRISTOPHER
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 1:4850 MARCONI AVE
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-4111
Mailing Address - Country:US
Mailing Address - Phone:916-485-3431
Mailing Address - Fax:
Practice Address - Street 1:4850 MARCONI AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-4111
Practice Address - Country:US
Practice Address - Phone:916-485-3431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA344761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice