Individual
DR. THOMAS C. KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2505 S 320TH ST, SUITE 330, FEDERAL WAY, WA 98003-5400
(206) 400-0800
(523) 874-9068
Mailing address
2572 UNION AVE NE, RENTON, WA 98059-3501
(425) 271-4120
(253) 874-0968
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE00010542W
WA. STATE I.D.
WA
Enumeration date
10/25/2006
Last updated
03/07/2023
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