Individual
MR. KONG VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9621 BROOKDALE DR, SUITE 200, CHARLOTTE, NC 28215-8725
(704) 500-0040
Mailing address
8830 KENSINGTON FOREST DR, HARRISBURG, NC 28075-5612
(704) 533-2511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7388
NC
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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