# GLENDALE DENTAL ASSOCIATES II, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Glendale Dental Associates PC II
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528246618
- **Authorized official:** DR. JOHN CHO DDS (OWNER/DENTIST)
- **Authorized official phone:** (317) 251-0085

## Contact information

- **Practice address:** 6202 EVANSTON AVE, INDIANAPOLIS, IN 46220-2100
- **Practice address phone:** (317) 251-0085
- **Practice address fax:** (317) 259-9084
- **Mailing address:** 6202 EVANSTON AVE, INDIANAPOLIS, IN 46220-2100
- **Mailing address phone:** (317) 251-0085
- **Mailing address fax:** (317) 259-9084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010539A | IN | Yes |

## Other

- **Enumeration date:** 01/31/2008
- **Last updated:** 12/03/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12010540A | — | IN |