Provider Demographics
NPI:1659942324
Name:CHRISTINA CHO, DMD, A DENTAL CORPORATION
Entity type:Organization
Organization Name:CHRISTINA CHO, DMD, A DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:707-845-9128
Mailing Address - Street 1:3050 DEL HOMBRE LN APT 214
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-2297
Mailing Address - Country:US
Mailing Address - Phone:707-845-9128
Mailing Address - Fax:
Practice Address - Street 1:3050 DEL HOMBRE LN APT 214
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-2297
Practice Address - Country:US
Practice Address - Phone:707-845-9128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-05
Last Update Date:2024-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental