Individual
KEVIN D DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4711 WESTSIDE DR, DALLAS, TX 75209-6021
(502) 414-3264
Mailing address
4025 AVALON AVE, IRVING, TX 75061-3903
(469) 781-9067
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT122389
TX
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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