Individual
COSMO YUCHEN PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19111 SE 34TH ST STE 104, VANCOUVER, WA 98683-1449
(360) 823-0427
Mailing address
1062 NW DEERFERN LOOP, CAMAS, WA 98607-8689
(360) 921-3656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D11278
OR
1223G0001X
General Practice Dentistry
Primary
DE61217627
WA
Other
Enumeration date
08/03/2020
Last updated
02/21/2023
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