Provider Demographics
NPI:1639449671
Name:CHO, JOHN H (DDS)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:H
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 1:1299 BISHOP RD.
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532
Mailing Address - Country:US
Mailing Address - Phone:360-740-9999
Mailing Address - Fax:360-740-9998
Practice Address - Street 1:1299 BISHOP RD.
Practice Address - Street 2:SUITE B
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532
Practice Address - Country:US
Practice Address - Phone:360-740-9999
Practice Address - Fax:360-740-9998
Is Sole Proprietor?:No
Enumeration Date:2012-01-09
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60963122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist