Individual
JUNGWON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
350 TOWN CENTER AVE, SUWANEE, GA 30024-6914
(833) 210-4253
Mailing address
1922 SHENLEY PARK LN, DULUTH, GA 30097-4942
(404) 717-9122
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12258
GA
1223P0221X
Pediatric Dentistry
60735298
WA
Other
Enumeration date
10/20/2010
Last updated
07/12/2021
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