Organization
PECKOSH PEDIATRIC DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VALERIE PECKOSH (OWNER)
(563) 582-1478
Entity
Organization
Contact information
Practice address
3455 STONEMAN RD, DUBUQUE, IA 52002-5269
(563) 582-1478
Mailing address
3455 STONEMAN RD, DUBUQUE, IA 52002-5269
(563) 582-1478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08006
IA
122300000X
Dentist
08808
IA
Other
Enumeration date
09/08/2015
Last updated
09/29/2015
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