Individual provider · Type 1 NPI

Sam S. Kwon, DMD

Pediatric Dentistry · Dacula, GA

NPI number 1013054402 Active

Practice location

3635 Braselton Hwy, Suite C
Dacula, GA 30019-1068

Call (678) 714-7575 Map

Fax (678) 714-7525

Mailing address

4731 Cambridge Trce
Atlanta, GA 30338-5252

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDN012637 (GA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

6 other providers at this address

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About NPI 1013054402

Sam S. Kwon, DMD's National Provider Identifier is 1013054402, issued on Feb 1, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Dacula, GA. The record was last updated on Jul 8, 2007.