# DENTAL STUDIO 101

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

## Provider details

- **NPI number:** 1487875944
- **Authorized official:** DR. MARK C PECK DDS (OWNER)
- **Authorized official phone:** (480) 488-4852

## Contact information

- **Practice address:** 34597 N 60TH ST, BUSINESS SUITE 101, SCOTTSDALE, AZ 85262-5240
- **Practice address phone:** (480) 488-4858
- **Practice address fax:** (480) 488-4976
- **Mailing address:** 34597 N 60TH ST, BUSINESS SUITE 101, SCOTTSDALE, AZ 85262-5240
- **Mailing address phone:** (480) 488-4858
- **Mailing address fax:** (480) 488-4976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3252 | AZ | Yes |
| 1223G0001X | General Practice Dentistry | 6916 | AZ | — |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 08/22/2020