Provider Demographics
NPI:1730286642
Name:BENJAMIN CHO DDS A PROFESSIONAL CORP.
Entity Type:Organization
Organization Name:BENJAMIN CHO DDS A PROFESSIONAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-263-6331
Mailing Address - Street 1:468 E CALAVERAS BLVD
Mailing Address - Street 2:STE D-1
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5424
Mailing Address - Country:US
Mailing Address - Phone:408-263-6331
Mailing Address - Fax:408-263-4773
Practice Address - Street 1:468 E CALAVERAS BLVD
Practice Address - Street 2:STE D-1
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5424
Practice Address - Country:US
Practice Address - Phone:408-263-6331
Practice Address - Fax:408-263-4773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44659122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty