Kang, Tae Ho

Kang, Tae Ho is an individual health care provider with primary practice located at 5201 Washington Ave Ste A , Mount Pleasant WI 53406-4242. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Kang, Tae Ho can be contacted via phone (888) 988-4066.

Contact Information

Primary practice address
5201 Washington Ave Ste A Mount Pleasant WI 53406-4242
Phone: (888) 988-4066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 31576 Texas
Dental Providers / Dentist 122300000X 1001434 Wisconsin

Profile Details

NPI number 1255711693
LBN Legal business name Kang, Tae Ho
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2015
Last updated Nov 23rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers