Provider Demographics
NPI:1760533228
Name:CHO, MICHAEL SUNG KYU (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SUNG KYU
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 1:314 ZILLAH PL SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059-7065
Mailing Address - Country:US
Mailing Address - Phone:206-919-9155
Mailing Address - Fax:
Practice Address - Street 1:3216 NE 45TH PL STE 213
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4028
Practice Address - Country:US
Practice Address - Phone:206-522-0466
Practice Address - Fax:206-522-0492
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA9439122300000X
CA50581122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist