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Samuel S. Kwon,dmd-iv Center Pc
Pediatric Dentist in Dacula, Georgia
NPI 1538692314

Samuel S. Kwon,dmd-iv Center Pc is a Pediatric Dentist based in Dacula, GA and is specialized in Pediatric Dentistry. Samuel S. Kwon,dmd-iv Center Pc practices in Dacula, GA. The NPI Number for Samuel S. Kwon,dmd-iv Center Pc is 1538692314 and holds a License No. (Georgia).

The current practice location address for Samuel S. Kwon,dmd-iv Center Pc is 3590 Braselton Hwy Bldg B, Dacula, GA and can be reached out via phone at 678-714-7575 and via fax at 678-714-7525.

Location: 3590 Braselton Hwy Bldg B, Dacula, GA, 30019-1117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538692314
Provider Name
Samuel S. Kwon,dmd-iv Center Pc
Credential
Provider Entity Type
Organization
Address
3590 Braselton Hwy Bldg B, Dacula, GA, 30019-1117
Phone Number
678-714-7575
Fax Number
678-714-7525
Provider Enumeration Date
04/07/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
724916844C 05 GA
institution
Provider Business Practice Location Address Details
Address
3590 Braselton Hwy Bldg B
City
Dacula
State
Georgia
Zip
30019-1117
Phone Number
678-714-7575
Fax Number
678-714-7525
person
Provider Business Mailing Address Details
Address
3590 Braselton Hwy Bldg B
City
Dacula
State
Georgia
Zip
30019-1117
Phone Number
678-714-7575
Fax Number
678-714-7525
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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