Kang, Taeheon

Kang, Taeheon is an individual health care provider with primary practice located at 3437 Lakeside Dr , Davie FL 33328-1935. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Kang, Taeheon can be contacted via phone (954) 536-1111.

Contact Information

Primary practice address
3437 Lakeside Dr Davie FL 33328-1935
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DN18250 Florida
Dental Providers / Periodontics 1223P0300X 0401413327 Virginia

Profile Details

NPI number 1356578025
LBN Legal business name Kang, Taeheon
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2009
Last updated Jul 4th, 2020 - about 4 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.

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