Individual
DEBRA PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
313 S LAKEWOOD DR, BRANDON, FL 33511-2815
(813) 653-6126
Mailing address
313 S LAKEWOOD DR, BRANDON, FL 33511-2815
(813) 653-6126
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4714
FL
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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