Cheng Gao, DMD Valid NPI

Individual provider · General Practice Dentistry · Chamblee, GA

NPI

1548383839

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DN013199 (GA)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-04-09

Last updated

2007-07-08