NPI 1952615130

Eunejene Kwak

Practitioner Dental Assistant Atlanta, GA

Practice location

Address: 4536 Chamblee Dunwoody Rd Suite 211, Atlanta, GA 30338-6200
Phone: (770) 455-1238
Fax: (770) 488-9550

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1952615130
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jul 2010
Record last updated: 30 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.