Provider Demographics
NPI:1205305133
Name:SEUNG YON CHO DDS, INC.
Entity type:Organization
Organization Name:SEUNG YON CHO DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEUNG YON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-563-1600
Mailing Address - Street 1:2001 UNION ST STE 385
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-4130
Mailing Address - Country:US
Mailing Address - Phone:415-563-1600
Mailing Address - Fax:415-914-0791
Practice Address - Street 1:2001 UNION ST STE 385
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4130
Practice Address - Country:US
Practice Address - Phone:415-563-1600
Practice Address - Fax:415-914-0791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-20
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty