Individual
JOSEPH W PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1844 E 9400 S, SANDY, UT 84093-3000
(801) 816-9366
Mailing address
6 LEGEND LN, SANDY, UT 84092-4801
(412) 401-8712
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8490181-9921
UT
122300000X
Dentist
DN 19856
FL
Other
Enumeration date
07/06/2012
Last updated
01/02/2013
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