Individual
DR. DANIEL A PEGUERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3401 S CONGRESS AVE STE 109, PALM SPRINGS, FL 33461-3065
(561) 357-4756
(561) 357-4979
Mailing address
3401 S CONGRESS AVE STE 109, PALM SPRINGS, FL 33461-3065
(561) 357-4756
(561) 357-4979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14643
FL
1223P0300X
Periodontics
DN12894
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203538298
FEDERAL TAX ID
FL
Enumeration date
02/10/2007
Last updated
04/02/2014
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