Provider Demographics
NPI:1073601951
Name:KANG, DAVID (MD, DDS, MS, FACS)
Entity Type:Individual
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First Name:DAVID
Middle Name:
Last Name:KANG
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Gender:M
Credentials:MD, DDS, MS, FACS
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Mailing Address - Street 1:1411 N BECKLEY AVE
Mailing Address - Street 2:PAVILION III, SUITE 152
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75203-1259
Mailing Address - Country:US
Mailing Address - Phone:469-713-2038
Mailing Address - Fax:214-948-0156
Practice Address - Street 1:1411 N BECKLEY AVE
Practice Address - Street 2:PAVILION III, SUITE 152
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-1259
Practice Address - Country:US
Practice Address - Phone:469-713-2038
Practice Address - Fax:214-948-0156
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2016-06-26
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Provider Licenses
StateLicense IDTaxonomies
TXP8484204E00000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery