Organization
BOSO PA
Active
Other names
Kang Dental
Organization subpart
No
Provider details
NPI number
Authorized official
YOON C KANG DDS (PRESIDENT)
(972) 242-3737
Entity
Organization
Contact information
Practice address
2625 OLD DENTON RD STE 101, CARROLLTON, TX 75007-5133
(972) 242-3737
Mailing address
2625 OLD DENTON RD STE 101, CARROLLTON, TX 75007-5133
(972) 242-3737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19320
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009493003
—
TX
Enumeration date
03/03/2017
Last updated
06/19/2020
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