Individual
DR. DANIEL JAEMOON KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 WALNUT AVENUE, 612 GE/MI DENTAL, VALLEJO, CA 94592
(707) 562-8283
Mailing address
201 WALNUT AVENUE, 612GE/ MI DENTAL, VALLEJO, CA 94592
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
101784
CA
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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