| NPI | 1285051656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL G PECK Owner / President 360-779-5546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 10941) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2015-10-08 |