Deep Roots Periodontics Pllc
NPI #1255695243 in Fairfax, Virginia
Provider Information
- NPI Number
- 1255695243
- Entity Type
- Organization
- Organization Name
- Deep Roots Periodontics Pllc
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Jun 25, 2012
- Last Updated
- Jun 25, 2012
Practice Location
Authorized Official
- Name
- DR. TAEHEON KANG, D.D.S., M.S.
- Title
- PERIODONTIS
- Phone
- (954) 536-1111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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