Provider Demographics
NPI:1982659900
Name:CHO, YOUNGMI (DMD)
Entity Type:Individual
Prefix:DR
First Name:YOUNGMI
Middle Name:
Last Name:CHO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618TH DENTAL COMPANY
Mailing Address - Street 2:UNIT #15659
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96218-0659
Mailing Address - Country:KR
Mailing Address - Phone:0118253-470-4307
Mailing Address - Fax:0118253-470-5657
Practice Address - Street 1:618TH DENTAL COMPANY
Practice Address - Street 2:UNIT #15659
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96218-0659
Practice Address - Country:KR
Practice Address - Phone:0118253-470-4307
Practice Address - Fax:0118253-470-5657
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18156122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist