Kang Dental Corporation
Dentist in Rosemead, CA. Organization (NPI-2).
NPI number1215136304
StatusActive
Last updated in NPPESJan 16, 2010
Details
- NPI
- 1215136304
- Entity type
- Organization (NPI-2)
- Legal business name
- Kang Dental Corporation
- Organization subpart
- No
- Enumeration date
- Jul 17, 2007
- Last updated
- Jan 16, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 59163 | CA | Yes |
| 122300000X | Dentist | 51945 | CA |
Practice location
3925 Rosemead BlvdSuite 203
Rosemead, CA 91770-1933
Phone 626-288-0080 · Fax 626-288-0086
Mailing address
3925 Rosemead BlvdSuite 203
Rosemead, CA 91770-1933
Phone 626-288-0080 · Fax 626-288-0086
Authorized official
Jennifer C Lee
Secretatry
6262880080
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All 22 Dentist providers in Rosemead · All 1,136 providers in Rosemead
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