Individual
DR. KWAME KWAKYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1040 EAGLES LANDING PKWY STE 200, STOCKBRIDGE, GA 30281-9074
(678) 836-2136
Mailing address
1040 EAGLES LANDING PKWY STE 200, STOCKBRIDGE, GA 30281-9074
(678) 836-2136
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1302
OK
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN015099
GA
Other
Enumeration date
07/09/2014
Last updated
03/08/2022
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