Provider Demographics
NPI:1629572854
Name:CHO, IHNBAE (DDS)
Entity Type:Individual
Prefix:
First Name:IHNBAE
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 1:651 N DENTON TAP RD STE 170
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-7937
Mailing Address - Country:US
Mailing Address - Phone:520-906-5765
Mailing Address - Fax:
Practice Address - Street 1:651 N DENTON TAP RD STE 170
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-7937
Practice Address - Country:US
Practice Address - Phone:520-906-5765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-21
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34314122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist