| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHUNWOO KANG | 1003496316 | 2021-04-11 |
Chunwoo Kang is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1003496316. Registration indicates Chunwoo Kang is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Dentists-General (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, )
| Entity Type | Individual |
| Provider Name | Dr. Chunwoo Kang DDS |
| Practice Office Address | 1801 CAMINO DE SALUD NE ALBUQUERQUE, NM US |
| Practice Office Telephone | 5059254031 |
| Mailing Address | 8415 CHATEAU DR NE ALBUQUERQUE, NM 871224204 US |
| Business Telephone | 5052388632 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | TD-00-137
NM |
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |
NM |
| 1223G0001X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist | DD5469
NM |