| Phillip Sung W Cho Dental Corp | |
|
56969 Yucca Trl Ste C Yucca Valley CA 92284-3797 | |
| (760) 228-1733 | |
| (760) 365-9123 |
| Full Name | Phillip Sung W Cho Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 56969 Yucca Trl Ste C, Yucca Valley, California |
| Authorized Official Name and Position | Phillip Sungwoon Cho (PRESIDENT) |
| Authorized Official Contact | 9095570912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Sung W Cho Dental Corp 56969 Yucca Trl Ste C Yucca Valley CA 92284-3797 Ph: (760) 228-1733 | Phillip Sung W Cho Dental Corp 56969 Yucca Trl Ste C Yucca Valley CA 92284-3797 Ph: (760) 228-1733 |
| NPI Number | 1245909001 |
|---|---|
| Provider Enumeration Date | 09/07/2021 |
| Last Update Date | 09/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245909001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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