Individual
DR. GRACE E KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3590 BRASELTON HWY STE 201, DACULA, GA 30019-1120
(678) 714-7575
Mailing address
3590 BRASELTON HWY, DACULA, GA 30019-1117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN122329
GA
1223P0221X
Pediatric Dentistry
Primary
DN122329
GA
Other
Enumeration date
07/19/2021
Last updated
06/19/2024
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