Individual
DR. ELISE MARIKO HEI-FUNG CHENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3700 US HIGHWAY 98 N UNIT 105, LAKELAND, FL 33809-3863
(863) 225-4585
Mailing address
2970 SADDLE RIDGE LN, LAKELAND, FL 33810-2533
(213) 986-6848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25599
FL
1223G0001X
General Practice Dentistry
DN25599
FL
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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