# ALEXANDER KISAM JHANG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255462339
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 42664 | CA | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 09/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 013553 | DELTA CARE PMI | CA |
| 01 | — | 42664 | CALIFORNIA LICENSE | CA |
| 01 | — | B42664-02 | HEALTHY FAMILY PROGRAM | CA |
| 01 | — | G93605-01 | DENTI-CAL PROVIDER NUMBER | CA |