Provider Demographics
NPI:1104025550
Name:CHERNG, AI-SHUAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:AI-SHUAN
Middle Name:
Last Name:CHERNG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:CHERNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:6334 GOLDEN STAR PL
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-6101
Mailing Address - Country:US
Mailing Address - Phone:410-531-9021
Mailing Address - Fax:
Practice Address - Street 1:6334 GOLDEN STAR PL
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-6101
Practice Address - Country:US
Practice Address - Phone:410-531-9021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11206122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist