Individual
DR. PHILIP Y. KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1567 PALISADE AVE, #2A, FORT LEE, NJ 07024-6923
(201) 947-8399
Mailing address
1567 PALISADE AVE, #2A, FORT LEE, NJ 07024-6923
(201) 947-8399
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
052245
NY
1223P0300X
Periodontics
Primary
22DJ02278500
NJ
Other
Enumeration date
01/10/2007
Last updated
08/07/2012
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