Provider Demographics
NPI:1699189092
Name:CHO, SARAH (DMD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:CHO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1502 W CHESTER PIKE
Mailing Address - Street 2:SUITE 20
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-7705
Mailing Address - Country:US
Mailing Address - Phone:610-692-3312
Mailing Address - Fax:610-692-3314
Practice Address - Street 1:1502 W CHESTER PIKE
Practice Address - Street 2:SUITE 20
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-7705
Practice Address - Country:US
Practice Address - Phone:610-692-3312
Practice Address - Fax:610-692-3314
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-13
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0399381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice