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Organization
LAWRENCE M. CHENG
Active
Organization
LAWRENCE M. CHENG
Active
Other names
smile haven dental
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE M CHENG DDS (OWNER)
(909) 481-7317
Entity
Organization
Contact information
Practice address
10399 FOOTHILL BLVD, SUITE 101-A, RANCHO CUCAMONGA, CA 91730-6956
(909) 481-7317
(909) 481-7319
Mailing address
10399 FOOTHILL BLVD, SUITE 101-A, RANCHO CUCAMONGA, CA 91730-6956
(909) 481-7317
(909) 481-7319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245427582
UNITED CONCORDIA
—
01
—
344577
DELTA DENTAL
CA
01
—
B44577-07
DELTA DENTAL HEALTHY FAMILIES
CA
Enumeration date
06/02/2008
Last updated
10/03/2013
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