Individual
DR. CHICH-KUANG ERIC PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7615 GARVEY AVE, ROSEMEAD, CA 91770-3001
(626) 307-4078
(626) 307-9432
Mailing address
7615 GARVEY AVE, ROSEMEAD, CA 91770-3001
(626) 307-4078
(626) 307-9432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35017
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G93553-01
—
CA
Enumeration date
08/29/2006
Last updated
05/21/2021
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