Provider Demographics
NPI:1194978205
Name:KANG, DAN BEE (DH)
Entity type:Individual
Prefix:
First Name:DAN BEE
Middle Name:
Last Name:KANG
Suffix:
Gender:F
Credentials:DH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5253 WALZEM RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-2186
Mailing Address - Country:US
Mailing Address - Phone:210-651-1050
Mailing Address - Fax:210-590-8970
Practice Address - Street 1:2300 W COMMERCE ST
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3839
Practice Address - Country:US
Practice Address - Phone:210-922-0103
Practice Address - Fax:210-922-0162
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14608124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX14608OtherSTATE BOARD OF DENTAL EXAMINERS