Provider Demographics
NPI:1659012326
Name:KANG, DONGYOUNG (DMD)
Entity Type:Individual
Prefix:DR
First Name:DONGYOUNG
Middle Name:
Last Name:KANG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 N ATLANTIC BLVD UNIT 353
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-7738
Mailing Address - Country:US
Mailing Address - Phone:303-520-9355
Mailing Address - Fax:
Practice Address - Street 1:1200 E CARSON ST STE 300
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3075
Practice Address - Country:US
Practice Address - Phone:562-988-7788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1065581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice