Individual
MINSEOK KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2500
(217) 326-1297
Mailing address
368 PADDOCK DR W, SAVOY, IL 61874-9625
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
018001853
IL
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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