| NPI | 1689049330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL S KWON Owner 678-714-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN012687) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |