Individual
DR. DANIEL PEIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
110 BERGEN ST, NEWARK, NJ 07103-2495
(973) 972-4621
Mailing address
110 BERGEN ST, NEWARK, NJ 07103-2495
(973) 972-4621
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DR02291
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DR02291
RESIDENCY PERMIT NUMBER
NJ
Enumeration date
07/08/2010
Last updated
07/08/2010
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