Provider Demographics
NPI:1437335718
Name:JOSEPH T CHENG DDS INC
Entity type:Organization
Organization Name:JOSEPH T CHENG DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:T
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-484-9555
Mailing Address - Street 1:8209 ROCHESTER AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-0744
Mailing Address - Country:US
Mailing Address - Phone:909-484-9555
Mailing Address - Fax:909-484-9730
Practice Address - Street 1:8209 ROCHESTER AVE STE 101
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-0744
Practice Address - Country:US
Practice Address - Phone:909-484-9555
Practice Address - Fax:909-484-9730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty