| Samuel S Kwon - Flowery Branch Dmd Pc | |
|
4009 Winder Hwy Suite 200 Flowery Branch GA 30542-6555 | |
| (678) 714-7575 | |
| (678) 714-7525 |
| Full Name | Samuel S Kwon - Flowery Branch Dmd Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4009 Winder Hwy, Flowery Branch, Georgia |
| Authorized Official Name and Position | Samuel S Kwon (OWNER) |
| Authorized Official Contact | 6787147575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel S Kwon - Flowery Branch Dmd Pc 3590 Braselton Hwy Suite 201 Dacula GA 30019-1117 Ph: (678) 714-7575 | Samuel S Kwon - Flowery Branch Dmd Pc 4009 Winder Hwy Suite 200 Flowery Branch GA 30542-6555 Ph: (678) 714-7575 |
| NPI Number | 1629442074 |
|---|---|
| Provider Enumeration Date | 11/23/2015 |
| Last Update Date | 12/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629442074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN012637 (Georgia) | Primary |
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