# STANLEY CHO DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** M Street Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396791489
- **Authorized official:** KELLY DIXON (OFFICE MANAGER)
- **Authorized official phone:** (253) 833-9062

## Contact information

- **Practice address:** 620 M ST NE, AUBURN, WA 98002-4501
- **Practice address phone:** (253) 833-9062
- **Practice address fax:** (253) 351-0503
- **Mailing address:** 620 M ST NE, AUBURN, WA 98002-4501
- **Mailing address phone:** (253) 833-9062
- **Mailing address fax:** (253) 351-0503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00003554 | WA | — |
| 1223G0001X | General Practice Dentistry | DE00005696 | WA | — |
| 1223G0001X | General Practice Dentistry | DE00006607 | WA | — |
| 1223G0001X | General Practice Dentistry | DE00007968 | WA | Yes |
| 1223G0001X | General Practice Dentistry | DE00007992 | WA | — |
| 1223P0300X | Periodontics | DE00006154 | WA | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | DE00003871 | WA | — |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 12/06/2018