Individual
DR. CHENG GAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4897 BUFORD HWY STE 122, CHAMBLEE, GA 30341-3670
(770) 452-5922
Mailing address
11055 BOLSTER CT, SUWANEE, GA 30024-1576
(770) 622-1743
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013199
GA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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