Individual
DR. CHAUR-CHOU CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4194 CONVOY ST, SAN DIEGO, CA 92111-3702
(858) 569-1918
Mailing address
4194 CONVOY ST, SAN DIEGO, CA 92111-3702
(858) 569-1918
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31227
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G90694-01
—
CA
Enumeration date
12/29/2006
Last updated
07/09/2007
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