Kang, Jean
Kang, Jean is an sole proprietor health care provider with primary practice located at 1808 Verdugo Blvd Ste 312 , Glendale CA 91208-1456. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Kang, Jean can be contacted via phone (818) 790-6721.Contact Information
Primary practice address
1808 Verdugo Blvd Ste 312
Glendale CA 91208-1456
Phone: (818) 790-6721
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DDS103652 | California |
Profile Details
| NPI number | 1932632726 |
|---|---|
| LBN Legal business name | Kang, Jean |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2017 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932632726 | NPPES |
| Other | 103652 | DENTAL LICENSE |
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