Provider Demographics
NPI:1952400780
Name:CHO, SUNG H (DMD)
Entity Type:Individual
Prefix:DR
First Name:SUNG
Middle Name:H
Last Name:CHO
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:615 CHESTNUT ST
Mailing Address - Street 2:14TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-4404
Mailing Address - Country:US
Mailing Address - Phone:215-776-8923
Mailing Address - Fax:215-955-2420
Practice Address - Street 1:909 WALNUT ST
Practice Address - Street 2:300 COB
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5211
Practice Address - Country:US
Practice Address - Phone:215-955-6215
Practice Address - Fax:215-923-9189
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2009-11-13
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Provider Licenses
StateLicense IDTaxonomies
PADS030940L1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery