Individual
BRIAN CHEUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2850 TELEGRAPH AVE, SUITE 202, BERKELEY, CA 94705-1192
(510) 841-6357
Mailing address
2850 TELEGRAPH AVE, SUITE 202, BERKELEY, CA 94705-1192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11405
CT
1223E0200X
Endodontics
Primary
100230
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2015
Last updated
07/01/2016
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