# TERESA K KANG DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417409855
- **Authorized official:** DR. TERESA KANG (OWNER)
- **Authorized official phone:** (425) 821-8411

## Contact information

- **Practice address:** 12332 120TH AVE NE, KIRKLAND, WA 98034-6926
- **Practice address phone:** (425) 821-8411
- **Practice address fax:** (425) 821-5188
- **Mailing address:** 12332 120TH AVE NE, KIRKLAND, WA 98034-6926
- **Mailing address phone:** (425) 821-8411
- **Mailing address fax:** (425) 821-5188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 9684 | WA | Yes |

## Other

- **Enumeration date:** 11/02/2016
- **Last updated:** 01/30/2017