Individual
DR. KEVIN SHUM FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
59 DG- AF POSTGRADUATE DENTAL SCHOOL, 2133 KLINKER STREET, BUILDING 3352, LACKLAND AFB, TX 78236-5313
(917) 340-8205
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39903
TX
Other
Enumeration date
03/22/2023
Last updated
06/05/2024
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