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Jean Kang
Pediatric Dentist in Glendale, California
NPI 1932632726

Jean Kang is a Pediatric Dentist based in Los Angeles, CA and is specialized in Pediatric Dentistry. Jean Kang practices in Glendale, CA. The NPI Number for Jean Kang is 1932632726 and holds a License No. DDS103652 (California).

The current practice location address for Jean Kang is 1808 Verdugo Blvd Ste 312, Glendale, CA and can be reached out via phone at 818-790-6721.

Location: 1808 Verdugo Blvd Ste 312, Glendale, CA, 90039-1201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932632726
Provider Name
Jean Kang
Credential
Provider Entity Type
Individual
Gender
Female
Address
1808 Verdugo Blvd Ste 312, Glendale, CA, 90039-1201
Phone Number
818-790-6721
Fax Number
Provider Enumeration Date
04/07/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103652 01 DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1808 Verdugo Blvd Ste 312
City
Glendale
State
California
Zip
91208-1456
Phone Number
818-790-6721
Fax Number
person
Provider Business Mailing Address Details
Address
1808 Verdugo Blvd Ste 312
City
Glendale
State
California
Zip
91208-1456
Phone Number
818-790-6721
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DDS103652 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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