Individual
DR. DAN C PEAVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
100 W OLMOS, SAN ANTONIO, TX 78212-1988
(210) 826-3201
Mailing address
100 W OLMOS, SAN ANTONIO, TX 78212-1988
(210) 826-3201
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7320
TX
Other
Enumeration date
06/14/2005
Last updated
03/11/2009
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