| Kwon Pediatric Dentistry | |
|
3590 Braselton Hwy Bldg B Ste 100 Dacula GA 30019-1117 | |
| (678) 714-7575 | |
| (678) 714-7525 |
| Full Name | Kwon Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3590 Braselton Hwy Bldg B, Dacula, Georgia |
| Authorized Official Name and Position | Renee Salmon (FINANCIAL MANAGER) |
| Authorized Official Contact | 6787147575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kwon Pediatric Dentistry 3590 Braselton Hwy Suite 201 Dacula GA 30019-1117 Ph: (678) 714-7575 | Kwon Pediatric Dentistry 3590 Braselton Hwy Bldg B Ste 100 Dacula GA 30019-1117 Ph: (678) 714-7575 |
| NPI Number | 1538692314 |
|---|---|
| Provider Enumeration Date | 04/07/2017 |
| Last Update Date | 04/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538692314 | NPI | - | NPPES |
| 724916844C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Apalachee Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 635 Dacula Rd, Suite 105, Dacula, GA 30019 Phone: 678-271-0718 | |
Northeast Georgia Dental Professionals, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Braselton Hwy Ste 12, Dacula, GA 30019 Phone: 770-932-4240 | |
Georgia Dental Professionals, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 952 Harbins Rd, Ste 401, Dacula, GA 30019 Phone: 470-268-3056 Fax: 470-268-3127 | |
Hamilton Mill Dental Center, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2055 Hamilton Creek Pkwy Ste 140, Dacula, GA 30019 Phone: 678-622-1822 | |
Childrens Dentistry At Gainesville Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2119 Hamilton Creek Pkwy, Suite 200, Dacula, GA 30019 Phone: 678-714-7011 Fax: 678-714-8388 | |
Yadira Cardona-rohena, Dmd Dental Clinic Medicare: Medicare Enrolled Practice Location: 4285 Jim Moore Rd, Bldg 100, Suite 104, Dacula, GA 30019 Phone: 678-835-1135 Fax: 678-835-1136 | |
Samuel S Kwon Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3590 Braselton Hwy, Suite 201, Dacula, GA 30019 Phone: 678-714-7575 Fax: 678-714-7525 |