NPI 1003007030

Daniel Granger Peck

Practitioner Dentist Poulsbo, WA

Practice location

Address: 20855 Bond Rd NE, Poulsbo, WA 98370-9014
Phone: (360) 779-5546

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DE00010941 (WA)

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Registry record

NPI: 1003007030
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Aug 2007
Record last updated: 6 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.