Individual
DAVID H KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
340 KELLEY PKWY, MEXICO, MO 65265-3811
(573) 582-1234
Mailing address
340 KELLEY PKWY, MEXICO, MO 65265-3811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2020022621
MO
Other
Enumeration date
08/06/2020
Last updated
03/05/2021
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