Most Relevant Information
Provider Data
| NPI Number: | 1003461559 |
| Provider Name: | EUIYOUNG KWAK DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DN015936 |
Most Important Dates
| Enumeration Date: | 08/01/2019 |
| Last Updated: | 08/01/2019 |
Provider Practice Location
4373 JIMMY LEE SMITH PKWY STE 105
HIRAM
GA
301412642
Practice Location Phone/Fax
| Phone: | 6782249244 |
| Fax: |
Provider Mailing Location
2217 LAKE PARK DR SE APT M
SMYRNA
GA
300808975
Provider Mailing Phone/Fax
| Phone: | 9546047343 |
| Fax: |