Individual
CHENG L MIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3313 SPECTRUM, IRVINE, CA 92618-3374
(310) 923-0197
(949) 387-5759
Mailing address
3313 SPECTRUM, IRVINE, CA 92618-3374
(310) 923-0197
(949) 387-5759
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
55353
CA
Other
Enumeration date
09/20/2006
Last updated
05/12/2009
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