Individual
DR. CONNOR PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 626-0140
Mailing address
2410 UNIVERSITY AVE W STE 110, SAINT PAUL, MN 55114-1978
(414) 416-2110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
R713
MN
1223X2210X
Orofacial Pain Dentistry
Primary
R713
MN
Other
Enumeration date
06/13/2018
Last updated
10/06/2019
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