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DR. ORSON YOUNG BAEK DDS MS

Periodontics >> Dentist >> Dental Providers

Registrant NPI Number: 1902968506

Individual Registrant:
DR. ORSON YOUNG BAEK DDS MS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
6060 MCDONOUGH DR SUITE I NORCROSS, GA 30093 US
Tel: 770-448-3030  Fax: 770-447-4906

Contact information for business:
1650 OAKBROOK DR SUITE 440 NORCORSS, GA 30093 US
Tel: 770-446-8000  Fax: 770-446-8000

Registration Information:
NPI: 1902968506
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0300XDental Providers
Dentist
Periodontics
GA013296

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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