Individual
AMANDEEP KAUR KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3205 W IRVING PARK RD, CHICAGO, IL 60618-3301
(773) 267-2671
(773) 267-2628
Mailing address
7247 SANDPIPER ST, PORTAGE, MI 49024-7853
(269) 599-7630
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029084
IL
1223G0001X
General Practice Dentistry
Primary
019029084
IL
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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