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General NPI Number Information
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NPI Number | 1669980330
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Entity Type | Organization
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Legal Business Name | CHENG AND TALWAR DDS, P.C.
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 01/16/2018
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Provider Practice Location Address
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Address Line | 4811 W CRYSTAL LAKE RD
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City | MCHENRY
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State | IL
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Zip | 60050-5412
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Country | US
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Telephone | 815-385-4411
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Fax |
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Provider Business Mailing Address
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Address Line | 4811 W CRYSTAL LAKE RD
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City | MCHENRY
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State | IL
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Zip | 60050-5412
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Country | US
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Telephone | 815-385-4411
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Fax |
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Authorized Official
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Title or Position | OWNER, SECRETARY
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Name | MICHAEL BRYAN CHENG
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Credential | DDS
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Telephone | 630-399-5596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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