Provider Demographics
NPI:1780023473
Name:CHO, KWANG H (DDS)
Entity type:Individual
Prefix:DR
First Name:KWANG
Middle Name:H
Last Name:CHO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1400 BLALOCK RD STE D-1
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-4483
Mailing Address - Country:US
Mailing Address - Phone:713-360-7963
Mailing Address - Fax:832-649-7079
Practice Address - Street 1:1400 BLALOCK RD STE D-1
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-4483
Practice Address - Country:US
Practice Address - Phone:713-360-7963
Practice Address - Fax:832-649-7079
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX29093122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist