Provider Demographics
NPI:1871806521
Name:QIU, CUNPING (DMD)
Entity type:Individual
Prefix:DR
First Name:CUNPING
Middle Name:
Last Name:QIU
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 W EDMONSTON DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1221
Mailing Address - Country:US
Mailing Address - Phone:240-938-4093
Mailing Address - Fax:
Practice Address - Street 1:5711 SARVIS AVE STE 600
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1355
Practice Address - Country:US
Practice Address - Phone:301-864-7006
Practice Address - Fax:301-864-7210
Is Sole Proprietor?:No
Enumeration Date:2010-07-23
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD145721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice