Organization
NUKOA FAMILY DENTISTRY
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 30096-4335
(770) 813-0777
(770) 813-1023
Mailing address
3705 OLD NORCROSS RD, SUITE 300, DULUTH, GA 30096-4335
(770) 813-0777
(770) 813-1023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012668
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626075029A
—
GA
Enumeration date
04/12/2011
Last updated
04/12/2011
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