Individual
CHIN CHUN PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MSD, FACP
Contact information
Practice address
1959 NE PACIFIC STREET HEALTH AND SCIENCE CENTER D453, SEATTLE, WA 98195-0001
(206) 685-6812
Mailing address
1959 NE PACIFIC STREET HEALTH SCIENCES CENTER D770C, SEATTLE, WA 98195-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60830423
WA
1223P0700X
Prosthodontics
DE60830423
WA
Other
Enumeration date
07/29/2019
Last updated
12/12/2024
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