Individual
STEVEN L PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1344 S 800 E, OREM, UT 84097-7781
(801) 224-6165
(801) 222-0966
Mailing address
1344 S 800 E, OREM, UT 84097-7781
(801) 224-6165
(801) 222-0966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22-134891-9922
UT
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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