Provider Demographics
NPI:1619186020
Name:HU, SHEAN CHENG (DDS)
Entity Type:Individual
Prefix:MR
First Name:SHEAN CHENG
Middle Name:
Last Name:HU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 N GARFIELD AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-3564
Mailing Address - Country:US
Mailing Address - Phone:626-300-8222
Mailing Address - Fax:626-300-8772
Practice Address - Street 1:123 N GARFIELD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3564
Practice Address - Country:US
Practice Address - Phone:626-300-8222
Practice Address - Fax:626-300-8772
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA359061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice