IndividualActive
Ailene Kang, DMD
NPI 1619538923 · Dentist · Rolla, MO
Provider details
- NPI number
- 1619538923
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2019023445 (MO)
Mailing address
1081 E 18th St
Rolla, MO 65401-2448
Registry dates
- Enumerated
- 2019-06-26
- Last updated
- 2021-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.