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NPI Code Detail

MEDICARE: DR. BURKE PAK-KING CHEUNG DDS

MEDICARE: DR. BURKE PAK-KING CHEUNG DDS
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
1122300000XDentistDE00010128WA
2122300000XDentistCA50735CA
3122300000XDentist2901019302MI

General Provider Information

NPI Number : 1790882819
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BURKE PAK-KING CHEUNG DDS
Provider Business Mailing Address
First Line : P. O. BOX 157
Second Line :
City : DEMING
State : WA
Zip : 98244
Country : US
Telephone Number : 360-306-5151
Fax Number : 360-306-5191
Provider Business Practice Location Address
First Line : 2510 SULWHANON DRIVE
Second Line :
City : EVERSON
State : WA
Zip : 98247-9749
Country : US
Telephone Number : 360-306-5151
Fax Number : 360-306-5191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 09/04/2012

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Directions to “ DR. BURKE PAK-KING CHEUNG DDS” Practice Location

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