Organization
SAMUEL S KWON DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL S. KWON D.M.D. (DENTIST)
(678) 714-7575
Entity
Organization
Contact information
Practice address
3590 BRASELTON HWY, SUITE 201, DACULA, GA 30019-1117
(678) 714-7575
(678) 714-7525
Mailing address
3590 BRASELTON HWY, SUITE 201, DACULA, GA 30019-1117
(678) 714-7575
(678) 714-7525
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012637
GA
Other
Enumeration date
03/20/2007
Last updated
12/08/2015
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