Provider Demographics
NPI:1932955689
Name:STEVEN J KIM DDS AND WENJING PANG DDS PLLC
Entity Type:Organization
Organization Name:STEVEN J KIM DDS AND WENJING PANG DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:WENJING
Authorized Official - Middle Name:
Authorized Official - Last Name:PANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-656-6525
Mailing Address - Street 1:503 SUTTER GATE LN
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7260
Mailing Address - Country:US
Mailing Address - Phone:919-656-6525
Mailing Address - Fax:
Practice Address - Street 1:2741 CAMPUS WALK AVE BLDG 300
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-8878
Practice Address - Country:US
Practice Address - Phone:919-656-6525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty