Individual
SU TONG KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7405A NEW LAGRANGE ROAD, LOUISVILLE, KY 40222-4049
(502) 425-6021
(502) 412-0077
Mailing address
7405A NEW LAGRANGE ROAD, LOUISVILLE, KY 40222-4049
(502) 425-6021
(502) 412-0077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7336
KY
Other
Enumeration date
10/11/2005
Last updated
03/26/2020
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