| NPI | 1457476608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL S. KWON Dentist 678-714-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: GA DN012637) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2015-12-08 |