Individual
EUGENE PAEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
USA DENTAL ACTIVITY, 652 HAMILTON RD, FORT SILL, OK 73503
(580) 442-3905
Mailing address
USA DENTAL ACTIVITY, 652 HAMILTON RD, FORT SILL, OK 73503
(580) 442-3905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00204107
CO
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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