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General NPI Number Information
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NPI Number | 1356672042
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Entity Type | Organization
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Legal Business Name | CHENG FAMILY DENTAL INC
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 1314 S KING ST STE 725
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City | HONOLULU
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State | HI
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Zip | 96814-1942
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Country | US
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Telephone | 808-596-2285
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Fax | 808-591-0068
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Provider Business Mailing Address
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Address Line | 1314 S KING ST STE 725
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City | HONOLULU
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State | HI
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Zip | 96814-1942
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Country | US
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Telephone | 808-596-2285
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Fax | 808-591-0068
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER LEE
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Credential | DDS
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Telephone | 808-596-2285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DT-1298
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License Number State | HI
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