OrganizationActive
Cheng Im Shao Chue Gomez PLLC
NPI 1932558780 · Preferred Provider Organization · Maple Valley, WA
Provider details
- NPI number
- 1932558780
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Tanya Galiant, Manager(425) 432-4131
- License
- DE00011005 (WA)
Specialties & taxonomies
Managed Care Organizations
Practice location
22035 Se Wax Rd
Ste 5
Maple Valley, WA 98038-8543
Phone: (425) 432-4131
Approximate (ZIP-level) locationGet directions
Mailing address
22035 Se Wax Rd
Maple Valley, WA 98038-8543
Other names (DBA / former)
- Doing business as
- Sunrise Dental of Maple Valley
Registry dates
- Enumerated
- 2016-06-11
- Last updated
- 2016-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.