Individual
MARIA C KWAK MYUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
(404) 688-1350
Mailing address
PO BOX 6687, ATLANTA, GA 30315-0687
(404) 688-1350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013996
GA
Other
Enumeration date
01/27/2010
Last updated
08/18/2016
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