Individual
DR. JACK KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
919 CONFERENCE DR STE 5, GOODLETTSVILLE, TN 37072-1924
(615) 855-0087
Mailing address
7965 COUNTRY LAKE DR, BARTLETT, TN 38133-2770
(901) 647-3386
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11046
TN
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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