Individual
DR. CHUNWOO KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1801 CAMINO DE SALUD NE, ALBUQUERQUE, NM 87102-4516
(505) 925-4031
Mailing address
8415 CHATEAU DR NE, ALBUQUERQUE, NM 87122-4204
(505) 238-8632
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD5469
NM
390200000X
Student in an Organized Health Care Education/Training Program
TD-00-137
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/11/2021
Last updated
05/11/2022
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