Organization
BRIAN H. CHEUNG, DDS, MD, PLLC
Active
Other names
Seattle Premier Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN HIUFAI CHEUNG DDS, MD (CEO)
(206) 412-8554
Entity
Organization
Contact information
Practice address
509 OLIVE WAY STE 1331, SEATTLE, WA 98101-1743
(206) 624-0852
Mailing address
19623 30TH AVE NE, SHORELINE, WA 98155-1503
(206) 412-8554
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100290061
—
KY
Enumeration date
03/26/2019
Last updated
03/26/2019
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