Individual
DR. DERRICK H PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5215 N BEND RD, CINCINNATI, OH 45247-8006
(513) 481-8051
Mailing address
5215 N BEND RD, CINCINNATI, OH 45247-8006
(513) 481-8051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.024471
OH
1223G0001X
General Practice Dentistry
Primary
11637
MT
Other
Enumeration date
07/09/2015
Last updated
10/27/2017
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