Organization
PAPER STREET PERIODONTICS & IMPLANT DENTRISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS C. KANG DDS (PERIODONTIST)
(206) 400-0800
Entity
Organization
Contact information
Practice address
2505 S 320TH ST, SUITE 330, FEDERAL WAY, WA 98003-5400
(206) 400-0800
(253) 874-9068
Mailing address
2505 S 320TH ST, SUITE 330, FEDERAL WAY, WA 98003-5400
(206) 400-0800
(253) 874-9068
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE00010542
STATE LICENSE
WA
Enumeration date
03/12/2007
Last updated
08/22/2020
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