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General NPI Number Information
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NPI Number | 1962600635
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Entity Type | Organization
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Legal Business Name | VINCENT C.CHENG DDS MSC CORP.
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Dates
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Enumeration Date | 07/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 616 N MONTEBELLO BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-3538
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Country | US
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Telephone | 323-728-3714
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Fax | 323-888-6003
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Provider Business Mailing Address
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Address Line | 616 N MONTEBELLO BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-3538
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Country | US
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Telephone | 323-888-6002
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VINCENT C CHENG
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Credential | DDS MSC FADI
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Telephone | 323-728-3714
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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 | 41068
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License Number State | CA
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