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1164101945
JONGBIN WIE
CANTON, GA
NPI
1164101945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN123098)
Enumeration Date
2023-07-18
Last Update Date
2023-07-18
Business Address
Dr. JONGBIN WIE DMD
1425 RIVERSTONE PKWY # 200
CANTON, GA 30114-5611
Phone number: 770-479-0600
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Mailing Address
Dr. JONGBIN WIE DMD
1425 RIVERSTONE PKWY STE 200
CANTON, GA 30114-5611
Phone number: 954-952-2081
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