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Samuel S Kwon - Loganville Dmd Pc
Pediatric Dentist in Loganville, Georgia
NPI 1689049330

Samuel S Kwon - Loganville Dmd Pc is a Pediatric Dentist based in Dacula, GA and is specialized in Pediatric Dentistry. Samuel S Kwon - Loganville Dmd Pc practices in Loganville, GA. The NPI Number for Samuel S Kwon - Loganville Dmd Pc is 1689049330 and holds a License No. DN012687 (Georgia).

The current practice location address for Samuel S Kwon - Loganville Dmd Pc is 2101 Baker Carter Drive, Loganville, GA and can be reached out via phone at 678-714-7575 and via fax at 678-714-7525.

Location: 2101 Baker Carter Drive, Loganville, GA, 30019-1117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689049330
Provider Name
Samuel S Kwon - Loganville Dmd Pc
Credential
Provider Entity Type
Organization
Address
2101 Baker Carter Drive, Loganville, GA, 30019-1117
Phone Number
678-714-7575
Fax Number
678-714-7525
Provider Enumeration Date
12/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2101 Baker Carter Drive
City
Loganville
State
Georgia
Zip
30052
Phone Number
678-714-7575
Fax Number
678-714-7525
person
Provider Business Mailing Address Details
Address
2101 Baker Carter Drive
City
Loganville
State
Georgia
Zip
30052
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.
DN012687 (Georgia)
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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