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NPI Code Detail

MEDICARE: DR. JANICE TAN CHENG D.M.D.

MEDICARE:  DR. JANICE TAN CHENG  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist55115CA

General Provider Information

NPI Number : 1467529420
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANICE TAN CHENG D.M.D.
Provider Business Mailing Address
First Line : 12400 CENTRAL AVE
Second Line :
City : CHINO
State : CA
Zip : 91710-2603
Country : US
Telephone Number : 909-364-0030
Fax Number : 909-591-8779
Provider Business Practice Location Address
First Line : 12400 CENTRAL AVE
Second Line :
City : CHINO
State : CA
Zip : 91710-2603
Country : US
Telephone Number : 909-364-0030
Fax Number : 909-591-8779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JANICE TAN CHENG D.M.D.” Practice Location

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