Individual
DR. CHUN WEI PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
708 WARWICK AVE, WARWICK, RI 02888-2670
(401) 785-2111
Mailing address
708 WARWICK AVE, WARWICK, RI 02888-2670
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
010880
CT
122300000X
Dentist
DE60096193
WA
122300000X
Dentist
Primary
DEN03144
RI
Other
Enumeration date
05/28/2009
Last updated
09/28/2013
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