Samuel S Kwon - Loganville Dmd Pc | |
2101 Baker Carter Drive Suite 200 Loganville GA 30052 | |
(678) 714-7575 | |
(678) 714-7525 |
Full Name | Samuel S Kwon - Loganville Dmd Pc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 2101 Baker Carter Drive, Loganville, 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 |
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Samuel S Kwon - Loganville Dmd Pc 3590 Braselton Hwy Suite 201 Dacula GA 30019-1117 Ph: (678) 714-7575 | Samuel S Kwon - Loganville Dmd Pc 2101 Baker Carter Drive Suite 200 Loganville GA 30052 Ph: (678) 714-7575 |
NPI Number | 1689049330 |
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Provider Enumeration Date | 12/07/2015 |
Last Update Date | 12/07/2015 |
Identifier | Type | State | Issuer |
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1689049330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DN012687 (Georgia) | Primary |
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