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

Specialty	Code	License #	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 4 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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