Individual
ANNA KUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
439 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1714
(917) 830-0838
Mailing address
4500 PARSONS BLVD, FLUSHING, NY 11355-2205
(347) 771-8026
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061343
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2019
Last updated
12/30/2024
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