Individual
DR. JENI YOOJIN KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
960 LAKES PKWY STE A, LAWRENCEVILLE, GA 30043-8904
(770) 513-4555
(770) 513-2311
Mailing address
4992 PRICE DR, SUWANEE, GA 30024-4186
(706) 284-6529
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013935
GA
Other
Enumeration date
07/07/2009
Last updated
06/25/2015
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