Stephen Cheung DDS
Clinic/Center, Dental in Lodi, CA. Organization (NPI-2).
NPI number1982167466
StatusActive
Last updated in NPPESApr 10, 2019
Details
- NPI
- 1982167466
- Entity type
- Organization (NPI-2)
- Legal business name
- Stephen Cheung DDS
- Organization subpart
- No
- Enumeration date
- Apr 10, 2019
- Last updated
- Apr 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
1420 S Mills AveLodi, CA 95242-4291
Phone 530-219-8754
Mailing address
7809 Wymark DrElk Grove, CA 95758-7800
Phone 530-219-8754
Authorized official
Stephen Cheung
Owner
5302198754
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