Provider Demographics
NPI:1790882819
Name:CHEUNG, BURKE PAK-KING (DDS)
Entity Type:Individual
Prefix:DR
First Name:BURKE
Middle Name:PAK-KING
Last Name:CHEUNG
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:P. O. BOX 157
Mailing Address - Street 2:
Mailing Address - City:DEMING
Mailing Address - State:WA
Mailing Address - Zip Code:98244
Mailing Address - Country:US
Mailing Address - Phone:360-306-5151
Mailing Address - Fax:360-306-5191
Practice Address - Street 1:2510 SULWHANON DRIVE
Practice Address - Street 2:
Practice Address - City:EVERSON
Practice Address - State:WA
Practice Address - Zip Code:98247-9749
Practice Address - Country:US
Practice Address - Phone:360-306-5151
Practice Address - Fax:360-306-5191
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00010128122300000X
CACA50735122300000X
MI2901019302122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist