# DANIEL PECK DDS INC PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285051656
- **Authorized official:** DR. DANIEL G PECK DDS (OWNER / PRESIDENT)
- **Authorized official phone:** (360) 779-5546

## Contact information

- **Practice address:** 20855 BOND RD NE, POULSBO, WA 98370-9014
- **Practice address phone:** (360) 779-5546
- **Practice address fax:** (360) 697-4951
- **Mailing address:** 20855 BOND RD NE, POULSBO, WA 98370-9014
- **Mailing address phone:** (360) 779-5546
- **Mailing address fax:** (360) 697-4951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 10941 | WA | Yes |

## Other

- **Enumeration date:** 03/24/2014
- **Last updated:** 10/08/2015