Individual
DR. LISA KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
18 E 50TH ST FL 8, NEW YORK, NY 10022-9110
(212) 688-2452
Mailing address
18 E 50TH ST FL 8, NEW YORK, NY 10022-9110
(212) 688-2452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056348
NY
Other
Enumeration date
10/01/2012
Last updated
01/22/2021
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