Phuong H Cheng | Daly City, CA • PECOS Search

Phuong H Cheng

Dentist

Dental Providers

341 Westlake Ctr Ste 205, Daly City, CA 94015-1445

PECOS Enrollment

Based on the most recent information from CMS, provider Phuong H Cheng does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1205197241
Provider Type
Individual
Full Name
Cheng, Phuong H
Title
Dr.
Credential
DDS

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/6/2012
Last Updated
6/6/2012

Contact Information

Practice Location

341 Westlake Ctr Ste 205, Daly City, CA 94015-1445

Unlisted Fax

Mailing Location

341 Westlake Ctr Ste 205, Daly City, CA 94015-1445

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 47434 California