Organization
JEAN KANG, D.D.S., INC.
Active
Other names
The Tickled Tooth
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN YOONA KANG DDS (PRESIDENT)
(818) 790-6721
Entity
Organization
Contact information
Practice address
1808 VERDUGO BLVD STE 312, GLENDALE, CA 91208-1456
(818) 790-6721
Mailing address
1808 VERDUGO BLVD STE 312, GLENDALE, CA 91208-1456
(818) 790-6721
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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