Individual
ANNA JAEEUN CHEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(707) 423-7065
Mailing address
4148 CYPRESS DR, TROY, MI 48085-4868
(248) 928-4744
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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