Provider Demographics
NPI:1952507451
Name:CHO, PAUL HEE WON (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:HEE WON
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 1:9872 CHAPMAN AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-2718
Mailing Address - Country:US
Mailing Address - Phone:714-539-8947
Mailing Address - Fax:714-539-8947
Practice Address - Street 1:9872 CHAPMAN AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841-2718
Practice Address - Country:US
Practice Address - Phone:714-539-8947
Practice Address - Fax:714-539-8947
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB29922122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB2992202Medicaid