Individual
JONG IN JEOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4536 NELSON BROGDON BLVD BLDG A, BUFORD, GA 30518-7516
(678) 730-2005
Mailing address
1106 MICHIGAN CIR, HOSCHTON, GA 30548-5561
(678) 770-0839
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122862
GA
Other
Enumeration date
04/16/2020
Last updated
02/09/2024
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