DIANA JIN

SUWANEE, GA
NPI1942675723
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: GA  DN122784)
Additional Taxonomies122300000X Dentist
(Licence: WA  DE60865949)
1223D0001X Dentist, Dental Public Health
(Licence: WA  DE60865949)
1223G0001X Dentist, General Practice
(Licence: CA  65134)
Enumeration Date2015-12-05
Last Update Date2022-12-13
Business Address
DIANA JIN D.D.S.
4323 TACOMA TRCE
SUWANEE, GA 30024-8731
Phone number: 626-246-2429
Mailing Address
DIANA JIN D.D.S.
4323 TACOMA TRCE
SUWANEE, GA 30024-8731
Phone number: 626-246-2429