Individual
IAN MICHAEL PEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1509 MOUNT ROYAL BLVD, GLENSHAW, PA 15116-2207
(412) 486-5155
Mailing address
1509 MOUNT ROYAL BLVD, GLENSHAW, PA 15116-2207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042197
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2019
Last updated
06/23/2019
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