Individual
DANNY JEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2258 NORTHLAKE PKWY, SUITE 200, TUCKER, GA 30084
(678) 937-9601
(678) 937-9602
Mailing address
2258 NORTHLAKE PKWY, SUITE 200, TUCKER, GA 30084
(678) 937-9601
(678) 937-9602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013196
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
733999822A
—
GA
Enumeration date
11/07/2006
Last updated
06/19/2013
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