Individual
DR. EUIYOUNG KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4373 JIMMY LEE SMITH PKWY STE 105, HIRAM, GA 30141-2642
(678) 224-9244
Mailing address
2217 LAKE PARK DR SE APT M, SMYRNA, GA 30080-8975
(954) 604-7343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015936
GA
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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