Kevin M Peck DDS

NPI 1760607584 - Dentist - 122300000X

NPI Details
NPI 1760607584
Gender Male
Enumeration Date 04/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
14640 N TATUM BLVD STE 10
PHOENIX AZ, 85032-4824, US
Phone (602) 867-1398
Fax (602) 867-1702
Business Location
14640 N TATUM BLVD STE 10
PHOENIX AZ, 85032-4824, US
Phone (602) 867-1398
Fax (602) 867-1702
Toxanomy
Taxonomy Code 122300000X
License State Arizona
License Number 4163
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According to our database, Kevin M Peck DDS NPI is 1760607584, taxonomy code is 122300000X and license number is 4163, license state is located at Arizona. Kevin M Peck DDS physically located at 14640 N Tatum Blvd Ste 10, Phoenix AZ, 85032-4824. NPI Number Kevin M Peck DDS has the Individual type.

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1760607584 NPI number is provided on an as is basis without warranty of any kind. 1760607584 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin M Peck DDS are for informational purposes only.