Organization
PEACE DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNOLD M. PEACE D.M.D. (DENTIST)
(412) 486-5155
Entity
Organization
Contact information
Practice address
1509 MOUNT ROYAL BLVD, GLENSHAW, PA 15116-2207
(412) 486-5155
(412) 487-3525
Mailing address
1509 MOUNT ROYAL BLVD, GLENSHAW, PA 15116-2207
(412) 486-5155
(412) 487-3525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS025199L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127987
UNITED CONCORDIA
PA
01
—
2105700
UNITED CONCORDIA
PA
Enumeration date
10/27/2006
Last updated
08/04/2009
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