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Individual

ADDISON CHI-KEE CHENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
9190 SIERRA AVE STE 101, FONTANA, CA 92335-8613
(909) 356-4200
Mailing address
9190 SIERRA AVE STE 101, FONTANA, CA 92335-8613
(909) 860-6232

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
103005
CA
1223G0001X
General Practice Dentistry
103005
CA

Other

Enumeration date
08/29/2018
Last updated
02/16/2022
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