Individual
JI WON KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4722 FAUNTLEROY WAY SW STE A, SEATTLE, WA 98116-4667
(206) 928-6242
Mailing address
13593 SW LIDEN DR, TIGARD, OR 97223-2091
(971) 517-9280
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61435599
WA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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