DR. Kevin Shum Fung, DMD

NPI #1053014704 in Lackland Afb, Texas

Provider Information

NPI Number: 1053014704
Entity Type: Individual
Name: DR. Kevin Shum Fung, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Mar 22, 2023
Last Updated: Jun 5, 2024

Practice Location

Address: 59 DG- AF POSTGRADUATE DENTAL SCHOOL
Address 2: 2133 KLINKER STREET, BUILDING 3352
City: Lackland Afb
State: Texas
ZIP Code: 78236-5313
Phone: (917) 340-8205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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