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1811017700
LI-CHENG PENG
WATERFORD, CT
NPI
1811017700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CT 6631)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
Dr. LI-CHENG PENG D.D.S.
567 VAUXHALL STREET EXT SUITE 116
WATERFORD, CT 06385-4330
Phone number: 860-443-8291
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Mailing Address
Dr. LI-CHENG PENG D.D.S.
567 VAUXHALL STREET EXT SUITE 116
WATERFORD, CT 06385-4330
Phone number: 860-443-8291
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