Individual
DR. JONGBIN WIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1425 RIVERSTONE PKWY # 200, CANTON, GA 30114-5611
(770) 479-0600
Mailing address
1425 RIVERSTONE PKWY STE 200, CANTON, GA 30114-5611
(954) 952-2081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123098
GA
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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