Provider Demographics
NPI:1518160043
Name:KANG, YUNG-MING (DDS CAGS DSCD)
Entity Type:Individual
Prefix:DR
First Name:YUNG-MING
Middle Name:
Last Name:KANG
Suffix:
Gender:M
Credentials:DDS CAGS DSCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4101 TULLY ROAD
Mailing Address - Street 2:SUITE 602
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95356-8982
Mailing Address - Country:US
Mailing Address - Phone:209-529-1698
Mailing Address - Fax:209-529-0058
Practice Address - Street 1:4101 TULLY ROAD
Practice Address - Street 2:SUITE 602
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95356-8982
Practice Address - Country:US
Practice Address - Phone:209-529-1698
Practice Address - Fax:209-529-0058
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA501461223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics