Samuel S. Kwon,dmd-Iv Center PC

NPI #1538692314 in Dacula, Georgia

Provider Information

NPI Number
1538692314
Entity Type
Organization
Organization Name
Samuel S. Kwon,dmd-Iv Center PC
Subpart
Yes (part of a larger organization)
Parent Organization
SAMUEL S. KWON DMD PC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Apr 7, 2017
Last Updated
Apr 11, 2017

Practice Location

Address
3590 BRASELTON HWY BLDG B
Address 2
STE 100
City
Dacula
State
Georgia
ZIP Code
30019-1117
Phone
(678) 714-7575

Authorized Official

Name
RENEE SALMON
Title
FINANCIAL MANAGER
Phone
(678) 714-7575

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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