Dr Daniel J Cho, DMD | |
11786 Sw Barnes Rd Ste 340, Portland, OR 97225-5930 | |
(503) 646-4600 | |
(971) 317-8466 |
Full Name | Dr Daniel J Cho |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 11786 Sw Barnes Rd Ste 340, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205277118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D10803 (Oregon) | Primary |
1223G0001X | Dentist - General Practice | 016.0096868 (Vermont) | Secondary |
Entity Name | Life Bloom Dental Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821654146 PECOS PAC ID: 1456775485 Enrollment ID: O20200722003584 |
Mailing Address | Practice Location Address |
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Dr Daniel J Cho, DMD 11786 Sw Barnes Rd Ste 340, Portland, OR 97225-5930 Ph: (503) 646-4600 | Dr Daniel J Cho, DMD 11786 Sw Barnes Rd Ste 340, Portland, OR 97225-5930 Ph: (503) 646-4600 |
Esther Jihae Lee, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5308 Se 52nd Ave, Portland, OR 97206 Phone: 503-775-4000 | |
Dr. Elizabeth Freda Schuler, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 202 Ne 181st Ave Ste C, Portland, OR 97230 Phone: 503-912-0443 | |
Dr. Octavia S Lively, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Vetrn Hosp Rd, Portland, OR 97239 Phone: 503-220-8262 | |
Michelle R Lawrence, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3671 Sw River Pkwy, Portland, OR 97239 Phone: 503-841-5658 Fax: 503-384-2953 | |
Albert Vinh Khiem Ngo, Dentist Medicare: Medicare Enrolled Practice Location: 4104 Se 82nd Ave Ste 450, Portland, OR 97266 Phone: 562-852-3113 | |
Dr. Esha Mukherjee, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2730 S Moody Ave, Portland, OR 97201 Phone: 502-531-3763 | |
Dr. Larry Robert Franz, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12135 Se Foster Rd, Portland, OR 97266 Phone: 503-760-7610 Fax: 503-760-7896 |