Provider Demographics
NPI:1679639280
Name:CHO, HOWARD K (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:K
Last Name:CHO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:HOWARD
Other - Middle Name:
Other - Last Name:CHO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:17029 CHATSWORTH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-5846
Mailing Address - Country:US
Mailing Address - Phone:818-368-6635
Mailing Address - Fax:
Practice Address - Street 1:17029 CHATSWORTH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-5846
Practice Address - Country:US
Practice Address - Phone:818-368-6635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA266101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB2661001OtherDENTI-CAL