Provider Demographics
NPI:1710406798
Name:TORKORNOO, CHESTER CASHMIR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHESTER
Middle Name:CASHMIR
Last Name:TORKORNOO
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 1:7709 TREVINO LN
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-3507
Mailing Address - Country:US
Mailing Address - Phone:757-201-4623
Mailing Address - Fax:
Practice Address - Street 1:3989 COLONEL GLENN HWY A
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324
Practice Address - Country:US
Practice Address - Phone:937-310-8039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-11
Last Update Date:2017-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.025234122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist