Organization
LORI CHUNG CHO DMD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI CHUNG CHO DMD (PRESIDENT)
(310) 897-4544
Entity
Organization
Contact information
Practice address
150 N JACKSON AVE STE 103, SAN JOSE, CA 95116
(408) 259-1004
(408) 347-1695
Mailing address
4393 WATSON CIR, SANTA CLARA, CA 95054-4166
(310) 897-4544
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
47462
CA
Other
Enumeration date
09/03/2018
Last updated
09/04/2018
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