Provider Demographics
NPI:1760626782
Name:CHO, GEORGE C (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:C
Last Name:CHO
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:23456 HAWTHORNE BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4716
Mailing Address - Country:US
Mailing Address - Phone:310-378-4277
Mailing Address - Fax:310-378-3814
Practice Address - Street 1:23456 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4716
Practice Address - Country:US
Practice Address - Phone:310-378-4277
Practice Address - Fax:310-378-3814
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA353821223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics