ORIGIN DENTAL LLC

PEACHTREE CORNERS, GA
NPI1275489957
Entity TypeOrganization
Authorized ContactSEAN LAN
Owner/Principal Dentist
772-678-1863
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2026-03-06
Last Update Date2026-03-06
Business Address
ORIGIN DENTAL LLC
5635 PEACHTREE PKWY STE 200
PEACHTREE CORNERS, GA 30092-2823
Phone number: 678-990-1001
Mailing Address
ORIGIN DENTAL LLC
5635 PEACHTREE PKWY STE 200
PEACHTREE CORNERS, GA 30092-2823
Phone number: 678-990-1001
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