| Lori Chung Cho Dmd Inc. | |
|
150 N Jackson Ave Ste 103 San Jose CA 95116 | |
| (408) 259-1004 | |
| (408) 347-1695 |
| Full Name | Lori Chung Cho Dmd Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 150 N Jackson Ave Ste 103, San Jose, California |
| Authorized Official Name and Position | Lori Chung Cho (PRESIDENT) |
| Authorized Official Contact | 3108974544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Chung Cho Dmd Inc. 4393 Watson Cir Santa Clara CA 95054-4166 Ph: (310) 897-4544 | Lori Chung Cho Dmd Inc. 150 N Jackson Ave Ste 103 San Jose CA 95116 Ph: (408) 259-1004 |
| NPI Number | 1821570102 |
|---|---|
| Provider Enumeration Date | 09/03/2018 |
| Last Update Date | 09/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821570102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 47462 (California) | Primary |
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