Individual
DR. DOUGLAS LYLE PEAK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3715 BLOOMINGTON ST, SUITE 160, COLORADO SPRINGS, CO 80922-3205
(719) 599-0665
(719) 599-0591
Mailing address
3715 BLOOMINGTON ST, SUITE 160, COLORADO SPRINGS, CO 80922-3205
(719) 599-0665
(719) 599-0591
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
80702
CO
Other
Enumeration date
08/30/2006
Last updated
10/07/2010
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