Individual
MR. HAN JONG KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
777 BROAD AVE, RIDGEFIELD, NJ 07657-1001
(201) 945-0123
(201) 313-5252
Mailing address
777 BROAD AVE, RIDGEFIELD, NJ 07657-1001
(201) 945-0123
(201) 313-5252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
048768
NY
1223G0001X
General Practice Dentistry
Primary
DI0211300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02064120
—
NY
Enumeration date
09/15/2005
Last updated
07/08/2007
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