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Individual

DR. LI-CHENG PENG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
567 VAUXHALL STREET EXT, SUITE 116, WATERFORD, CT 06385-4330
(860) 443-8291
Mailing address
567 VAUXHALL STREET EXT, SUITE 116, WATERFORD, CT 06385-4330
(860) 443-8291

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6631
CT

Other

Enumeration date
04/02/2007
Last updated
07/08/2007
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