| Kang Dentistry Pllc | |
|
1015 S Rand Rd Lake Zurich IL 60047-2911 | |
| (551) 795-0990 | |
| Not Available |
| Full Name | Kang Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1015 S Rand Rd, Lake Zurich, Illinois |
| Authorized Official Name and Position | Tae Ho Kang (MANAGER) |
| Authorized Official Contact | 5517950990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kang Dentistry Pllc 2550 Waterview Dr Unit 244 Northbrook IL 60062-6361 Ph: (551) 795-0990 | Kang Dentistry Pllc 1015 S Rand Rd Lake Zurich IL 60047-2911 Ph: (551) 795-0990 |
| NPI Number | 1205405768 |
|---|---|
| Provider Enumeration Date | 06/20/2021 |
| Last Update Date | 06/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205405768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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