Organization
ORIGIN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN LAN DMD (OWNER/PRINCIPAL DENTIST)
(772) 678-1863
Entity
Organization
Contact information
Practice address
5635 PEACHTREE PKWY STE 200, PEACHTREE CORNERS, GA 30092-2823
(678) 990-1001
Mailing address
5635 PEACHTREE PKWY STE 200, PEACHTREE CORNERS, GA 30092-2823
(678) 990-1001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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