Organization
LEON R. PECK, A PROFESSIONAL CORPORATIONM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON ROBERT PECK DDS, PHD (OWNER)
(310) 657-6363
Entity
Organization
Contact information
Practice address
8500 WILSHIRE BLVD, SUITE815, BEVERLY HILLS, CA 90211-3121
(310) 657-6363
(310) 652-5785
Mailing address
8500 WILSHIRE BLVD, SUITE815, BEVERLY HILLS, CA 90211-3121
(310) 657-6363
(310) 652-5785
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2009
Last updated
06/10/2009
Update your record
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