Individual
DR. MING-FONG LASKI KUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MMSC, MPH
Contact information
Practice address
6600 MADISON AVE STE 1, CARMICHAEL, CA 95608-0645
(916) 961-3250
(916) 961-3251
Mailing address
6600 MADISON AVE STE 1, CARMICHAEL, CA 95608-0645
(916) 961-3250
(916) 961-3251
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
50628
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271599686
TAX ID
CA
Enumeration date
11/14/2006
Last updated
03/23/2011
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