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General NPI Number Information
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NPI Number | 1710146154
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Entity Type | Organization
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Legal Business Name | LAWRENCE M. CHENG
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 10399 FOOTHILL BLVD SUITE 101-A
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-6956
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Country | US
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Telephone | 909-481-7317
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Fax | 909-481-7319
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Provider Business Mailing Address
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Address Line | 10399 FOOTHILL BLVD SUITE 101-A
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-6956
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Country | US
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Telephone | 909-481-7317
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Fax | 909-481-7319
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Authorized Official
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Title or Position | OWNER
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Name | LAWRENCE M CHENG
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Credential | DDS
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Telephone | 909-481-7317
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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 |
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License Number State |
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