| Theodore David Cho DDS LLC | |
|
2216 Brothers Rd Suite A Santa Fe NM 87505-6903 | |
| (505) 982-5121 | |
| (505) 982-7469 |
| Full Name | Theodore David Cho DDS LLC |
|---|---|
| Speciality | Dentist |
| Location | 2216 Brothers Rd, Santa Fe, New Mexico |
| Authorized Official Name and Position | Theodore David Cho (PRESIDENT) |
| Authorized Official Contact | 5059825121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore David Cho DDS LLC 2216 Brothers Rd Suite A Santa Fe NM 87505-6903 Ph: (505) 982-5121 | Theodore David Cho DDS LLC 2216 Brothers Rd Suite A Santa Fe NM 87505-6903 Ph: (505) 982-5121 |
| NPI Number | 1467894832 |
|---|---|
| Provider Enumeration Date | 07/25/2013 |
| Last Update Date | 07/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467894832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D1641 (New Mexico) | Primary |
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