| NPI | 1265099592 |
|---|---|
| Doing Business As | GENERAL DENTISTRY |
| Doing Business As | TERENCE B. PEGEL |
| Entity Type | Organization |
| Authorized Contact | JOSHUA R. PEGEL Denist 858-755-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-06-11 |