Individual
FAVIAN CHEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
34190 PACIFIC COAST HWY, DANA POINT, CA 92629-2816
(949) 493-7004
Mailing address
5425 E ROSEBAY ST, LONG BEACH, CA 90808-3528
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
104377
CA
Other
Enumeration date
09/18/2016
Last updated
01/04/2022
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