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Organization
HB CHO DDS, INC
Active
Organization
HB CHO DDS, INC
Active
Other names
Pacific Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HYUNBAE CHO DDS (PRESIDENT)
(520) 904-8909
Entity
Organization
Contact information
Practice address
6115 PACIFIC BLVD, HUNTINGTON PARK, CA 90255
(323) 844-3368
Mailing address
6115 PACIFIC BLVD, HUNTINGTON PARK, CA 90255
(323) 844-3368
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
64165
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619386174
DENTI-CAL RENDERING PROVIDER NPI
—
Enumeration date
10/07/2015
Last updated
07/19/2021
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