Individual
DARYL JASON PEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 HIGHLAND MEADOWS DR, 9, HIGHLAND HEIGHTS, KY 41076-3748
(502) 572-9222
Mailing address
6 HIGHLAND MEADOWS DRIVE, 9, HIGHLAND HEIGHTS, KY 41076
(502) 572-9222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8628
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2008
Last updated
03/17/2011
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