Individual
AIMEE KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
16141 BOLSA CHICA ST STE C, HUNTINGTON BEACH, CA 92649-2458
(714) 846-1386
Mailing address
618 S LAKESHORE DR, ANAHEIM, CA 92806-4409
(214) 862-4898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24559
CA
390200000X
Student in an Organized Health Care Education/Training Program
ETN263
TX
Other
Enumeration date
06/24/2014
Last updated
08/03/2021
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