Individual provider · NPI-1

Sung Woo Cho, DDS

Dentist, General Practice · New London, CT

NPI number1003384975
StatusActive
Last updated in NPPESNov 8, 2018

Details

NPI
1003384975
Entity type
Individual (NPI-1)
Name
Sung Woo Cho
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 8, 2018
Last updated
Nov 8, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice12380CTYes

Practice location

258 S Frontage Rd
New London, CT 06320-2641

Phone 860-437-3462

Mailing address

258 S Frontage Rd
New London, CT 06320-2641

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