Organization · Type 2 NPI
Samuel S Kwon - Loganville DMD PC
Pediatric Dentistry · Loganville, GA
NPI number
1689049330
Active
Practice location
2101 Baker Carter Drive, Suite 200
Loganville, GA 30052
Fax (678) 714-7525
Mailing address
3590 Braselton Hwy, Suite 201
Dacula, GA 30019-1117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | DN012687 (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.
About NPI 1689049330
Samuel S Kwon - Loganville DMD PC's National Provider Identifier is 1689049330, issued on Dec 7, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Loganville, GA. The record was last updated on Dec 7, 2015.