Individual
BILLY S PEALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3059 LAWRENCEVILLE HWY STE D, LAWRENCEVILLE, GA 30044-6426
(770) 931-9996
(770) 931-1984
Mailing address
3059 LAWRENCEVILLE HWY STE D, LAWRENCEVILLE, GA 30044-6426
(770) 931-9996
(770) 931-1984
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11444
GA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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