Provider Demographics
NPI:1568655736
Name:CHO, INHO (DDS)
Entity Type:Individual
Prefix:DR
First Name:INHO
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 1:3323 W OLYMPIC BLVD
Mailing Address - Street 2:#205
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90019-2339
Mailing Address - Country:US
Mailing Address - Phone:323-735-9990
Mailing Address - Fax:323-735-9994
Practice Address - Street 1:3323 W OLYMPIC BLVD
Practice Address - Street 2:#205
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90019-2339
Practice Address - Country:US
Practice Address - Phone:323-735-9990
Practice Address - Fax:323-735-9994
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50739122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist