Individual
DR. HYE JUNG REGINA SUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4030 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-3011
(678) 252-5665
Mailing address
4030 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-3011
(678) 252-5665
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6687
AZ
1223G0001X
General Practice Dentistry
Primary
DN014221
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048090
—
AZ
Enumeration date
08/10/2006
Last updated
03/04/2021
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