Individual
KEVIN S KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1375 MIDVALE AVE APT 301, LOS ANGELES, CA 90024-6260
(909) 969-3012
Mailing address
1375 MIDVALE AVE APT 301, LOS ANGELES, CA 90024-6260
(909) 969-3012
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
108400
CA
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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