Provider Demographics
NPI:1720625106
Name:JOOWON CHO DDS PLLC
Entity Type:Organization
Organization Name:JOOWON CHO DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JOO
Authorized Official - Middle Name:WON
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-666-4407
Mailing Address - Street 1:10700 ANDERSON MILL RD STE 300
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-2402
Mailing Address - Country:US
Mailing Address - Phone:512-666-4407
Mailing Address - Fax:
Practice Address - Street 1:10700 ANDERSON MILL RD STE 300
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-2402
Practice Address - Country:US
Practice Address - Phone:512-666-4407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental