Individual
DR. FRED K CHEUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1645 JOHN F KENNEDY ROAD, DUBUQUE, IA 52002-5107
(563) 556-6383
(563) 556-0461
Mailing address
1645 JOHN F KENNEDY ROAD, DUBUQUE, IA 52002-5107
(563) 556-6383
(563) 556-0461
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
06051
IA
1223P0221X
Pediatric Dentistry
2576-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159517
—
IA
05
—
33414200
—
WI
Enumeration date
10/02/2006
Last updated
07/09/2007
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