Provider Demographics
NPI:1992838460
Name:JANG, GAIL CHAN (DDS)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:CHAN
Last Name:JANG
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 1:760 MARKET ST
Mailing Address - Street 2:SUITE 356
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-2401
Mailing Address - Country:US
Mailing Address - Phone:415-982-4015
Mailing Address - Fax:
Practice Address - Street 1:760 MARKET ST
Practice Address - Street 2:SUITE 356
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-2401
Practice Address - Country:US
Practice Address - Phone:415-982-4015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26820122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist