| Audrey Kang Dds Dental Corporation | |
|
554 3rd St W Sonoma CA 95476-6502 | |
| (707) 478-9345 | |
| Not Available |
| Full Name | Audrey Kang Dds Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 554 3rd St W, Sonoma, California |
| Authorized Official Name and Position | Dah-in Audrey Kang (PRESIDENT, CEO, CFO) |
| Authorized Official Contact | 7074789345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey Kang Dds Dental Corporation 3779 Dafford Pl Santa Rosa CA 95404-7667 Ph: (707) 478-9345 | Audrey Kang Dds Dental Corporation 554 3rd St W Sonoma CA 95476-6502 Ph: (707) 478-9345 |
| NPI Number | 1326839879 |
|---|---|
| Provider Enumeration Date | 05/14/2025 |
| Last Update Date | 05/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326839879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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