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Individual

MIKE CHENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1225 AGUILAR DR, MONTGOMERY CITY, MO 63361-2723
(573) 582-1234
Mailing address
340 KELLEY PKWY, MEXICO, MO 65265-3811
(573) 582-1234

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60803595
WA

Other

Enumeration date
04/24/2016
Last updated
07/17/2024
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