Susan Kang
Susan Kang is a Dentist in Kenosha, Wisconsin. Practices as a sole proprietor. Licensed in Illinois and Wisconsin.
- Licensed in
- IL, WI
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
12752 71st St Apt 101Kenosha, WI 53142-8428
Phone: (708) 217-8489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 1001464 (WI) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 019030713 (IL) |
Record details
| NPI number | 1326425679 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 6, 2015 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 12752 71st St Apt 101, Kenosha, WI 53142-8428 |
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