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Organization
NUKOA FAMILY DENTAL
Active
Organization
NUKOA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN HWANG (DMD)
(770) 813-0777
Entity
Organization
Contact information
Practice address
3705 OLD NORCROSS RD, SUITE 300, DULUTH, GA 30096-4313
(770) 813-0777
Mailing address
3705 OLD NORCROSS RD, SUITE 300, DULUTH, GA 30096-4313
(770) 813-0777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN012668
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
561235509A
—
GA
05
—
626075029 A
—
GA
Enumeration date
03/18/2008
Last updated
10/23/2008
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