Provider Demographics
NPI:1194845040
Name:KAHNG, DAWN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:
Last Name:KAHNG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-0558
Mailing Address - Country:US
Mailing Address - Phone:408-374-0747
Mailing Address - Fax:408-374-5718
Practice Address - Street 1:215 W HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-0558
Practice Address - Country:US
Practice Address - Phone:408-374-0747
Practice Address - Fax:408-374-5718
Is Sole Proprietor?:No
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADF035412122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist