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Organization

CROCKER RANCH DENTISTRY, PROF. CORP.

Active
Other names
Crocker Ranch Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
TAEWON TAD CHO DMD (OWNER)
(916) 248-8749
Entity
Organization

Contact information

Practice address
9055 WOODCREEK OAKS BLVD STE 150, ROSEVILLE, CA 95747-5159
(916) 248-8749
(916) 297-4041
Mailing address
PO BOX 660041, DALLAS, TX 75266-0041
(714) 845-8890
(303) 952-0892

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
02/26/2026
Last updated
02/26/2026
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