Organization
M. CHO, DDS, PLLC
Active
Other names
CRYSTAL DENTAL INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SUNGYUN CHO DDS (SOLE MEMBER)
(909) 362-6319
Entity
Organization
Contact information
Practice address
12644 164TH AVE SE, RENTON, WA 98059-6403
(425) 282-4182
Mailing address
2740 118TH AVE SE APT 102, BELLEVUE, WA 98005-8130
(909) 362-6319
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60603860
WA
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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