Individual
DR. TAEHEON KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
3437 LAKESIDE DR, DAVIE, FL 33328-1935
(954) 536-1111
Mailing address
3437 LAKESIDE DR, DAVIE, FL 33328-1935
(954) 536-1111
(703) 865-5913
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401413327
VA
1223P0300X
Periodontics
DN18250
FL
Other
Enumeration date
06/19/2009
Last updated
07/04/2020
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