Kim, Jungwon

Kim, Jungwon is an individual health care provider with primary practice located at 350 Town Center Ave , Suwanee GA 30024-6914. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Kim, Jungwon can be contacted via phone (833) 210-4253.

Contact Information

Primary practice address
350 Town Center Ave Suwanee GA 30024-6914
Phone: (833) 210-4253
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 60735298 Washington
Dental Providers / Pediatric Dentistry 1223P0221X 12258 Georgia

Profile Details

NPI number 1528378700
LBN Legal business name Kim, Jungwon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2010
Last updated Jul 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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