Individual
DR. EDWARD CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5802 WASHINGTON AVE, STE 202, RACINE, WI 53406-4050
(262) 886-1957
Mailing address
5802 WASHINGTON AVE, STE 202, RACINE, WI 53406-4050
(262) 886-1957
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019027647
IL
1223G0001X
General Practice Dentistry
Primary
6276-15
WI
Other
Enumeration date
06/19/2008
Last updated
07/01/2008
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