| Kenneth Jang Dds, Inc. | |
|
1919 Vista Del Lago Dr #11 Valley Springs CA 95252-9294 | |
| (209) 772-0375 | |
| Not Available |
| Full Name | Kenneth Jang Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1919 Vista Del Lago Dr, Valley Springs, California |
| Authorized Official Name and Position | Kenneth Jang (PRESIDENT) |
| Authorized Official Contact | 9095538390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Jang Dds, Inc. 8228 Crystal Walk Cir Elk Grove CA 95758-8081 Ph: (909) 553-8390 | Kenneth Jang Dds, Inc. 1919 Vista Del Lago Dr #11 Valley Springs CA 95252-9294 Ph: (209) 772-0375 |
| NPI Number | 1710396908 |
|---|---|
| Provider Enumeration Date | 08/13/2014 |
| Last Update Date | 08/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710396908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60901 (California) | Primary |
James B. Duhamel, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13 Main St, Valley Springs, CA 95252 Phone: 209-772-9649 Fax: 209-772-2415 |