# M. CHO, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CRYSTAL DENTAL INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689166084
- **Authorized official:** DR. MICHAEL SUNGYUN CHO DDS (SOLE MEMBER)
- **Authorized official phone:** (909) 362-6319

## Contact information

- **Practice address:** 12644 164TH AVE SE, RENTON, WA 98059-6403
- **Practice address phone:** (425) 282-4182
- **Mailing address:** 2740 118TH AVE SE APT 102, BELLEVUE, WA 98005-8130
- **Mailing address phone:** (909) 362-6319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE60603860 | WA | Yes |

## Other

- **Enumeration date:** 05/31/2018
- **Last updated:** 05/31/2018
