| Nukoa Family Dental | |
|
3705 Old Norcross Rd Suite 300 Duluth GA 30096-4313 | |
| (770) 813-0777 | |
| Not Available |
| Full Name | Nukoa Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3705 Old Norcross Rd, Duluth, Georgia |
| Authorized Official Name and Position | Jonathan Hwang (DMD) |
| Authorized Official Contact | 7708130777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nukoa Family Dental 3705 Old Norcross Rd Suite 300 Duluth GA 30096-4313 Ph: (770) 813-0777 | Nukoa Family Dental 3705 Old Norcross Rd Suite 300 Duluth GA 30096-4313 Ph: (770) 813-0777 |
| NPI Number | 1033380050 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 10/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033380050 | NPI | - | NPPES |
| 561235509A | Medicaid | GA | |
| 626075029 A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN012668 (Georgia) | Primary |
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