| NPI | 1538692314 |
|---|---|
| Doing Business As | KWON PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RENEE SALMON Financial Manager 678-714-7575 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-11 |