Individual
DR. PETER SEONG JOON OK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MMSC
Contact information
Practice address
771 OLD NORCROSS RD, STE 125, LAWRENCEVILLE, GA 30046-4978
(678) 985-0550
Mailing address
771 OLD NORCROSS RD, STE 125, LAWRENCEVILLE, GA 30046-4978
(678) 985-0550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22248
MA
1223E0200X
Endodontics
Primary
DN014635
GA
Other
Enumeration date
07/14/2008
Last updated
07/07/2015
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