Individual
STEPHANIE KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
21005 44TH AVE W STE 103, MOUNTLAKE TERRACE, WA 98043-3584
(617) 997-8520
Mailing address
21005 44TH AVE W STE 103, MOUNTLAKE TERRACE, WA 98043-3584
(425) 616-2331
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
DE60550491
WA
1223G0001X
General Practice Dentistry
Primary
DE60550491
WA
Other
Enumeration date
11/19/2012
Last updated
08/08/2023
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