Individual
RENNY CHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
400 S TOWNLINE RD, WAUTOMA, WI 54982-6922
(180) 833-3360
Mailing address
51 MCARTHUR AVE, STATEN ISLAND, NY 10312-1924
(917) 836-1730
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001632
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
07/24/2024
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