Organization
DENTAL STUDIO 101
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK C PECK DDS (OWNER)
(480) 488-4852
Entity
Organization
Contact information
Practice address
34597 N 60TH ST, BUSINESS SUITE 101, SCOTTSDALE, AZ 85262-5240
(480) 488-4858
(480) 488-4976
Mailing address
34597 N 60TH ST, BUSINESS SUITE 101, SCOTTSDALE, AZ 85262-5240
(480) 488-4858
(480) 488-4976
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3252
AZ
1223G0001X
General Practice Dentistry
6916
AZ
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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