Individual
DR. ALYSSA D PEAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
855 LAKEVILLE ST STE 101, PETALUMA, CA 94952-7328
(707) 773-1234
Mailing address
855 LAKEVILLE ST STE 101, PETALUMA, CA 94952-7328
(707) 773-1234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100040
CA
Other
Enumeration date
06/22/2018
Last updated
01/12/2023
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