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General NPI Number Information
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NPI Number | 1437335718
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Entity Type | Organization
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Legal Business Name | JOSEPH T CHENG DDS INC
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 06/18/2015
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Provider Practice Location Address
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Address Line | 8209 ROCHESTER AVE STE 101
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-0744
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Country | US
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Telephone | 909-484-9555
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Fax | 909-484-9730
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Provider Business Mailing Address
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Address Line | 8209 ROCHESTER AVE STE 101
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-0744
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Country | US
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Telephone | 909-484-9555
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Fax | 909-484-9730
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH T CHENG
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Credential | DDS
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Telephone | 909-484-9555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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