Individual
KANG TING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10833 LECONTE AVE CHS # 20-140, LOS ANGELES, CA 90095-1669
(310) 825-5161
(310) 206-5349
Mailing address
10833 LECONTE AVENUE CHS # 20-140, LOS ANGELES, CA 90095-1669
(310) 825-5161
(310) 206-5349
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D51398
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G01005-2
—
CA
Enumeration date
01/25/2007
Last updated
07/08/2007
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