Individual
CHENGCHENG SHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8012 112TH STREET CT E STE 320, PUYALLUP, WA 98373-7856
(253) 848-2331
Mailing address
4233 CHESTNUT ST UNIT 722, PHILADELPHIA, PA 19104-6081
(608) 504-5023
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61560393
WA
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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