| Phillip E Peck Dds Inc | |
|
10550 Sepulveda Blvd Suite 115 Mission Hills CA 91345-1934 | |
| (818) 361-8669 | |
| (818) 361-6684 |
| Full Name | Phillip E Peck Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10550 Sepulveda Blvd, Mission Hills, California |
| Authorized Official Name and Position | Phillip Edward Peck (PRESIDENT) |
| Authorized Official Contact | 8183618669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip E Peck Dds Inc 10550 Sepulveda Blvd Suite 115 Mission Hills CA 91345-1934 Ph: (818) 361-8669 | Phillip E Peck Dds Inc 10550 Sepulveda Blvd Suite 115 Mission Hills CA 91345-1934 Ph: (818) 361-8669 |
| NPI Number | 1356551337 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356551337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20432 (California) | Primary |
Lawrence S. Trudgeon Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10550 Sepulveda Blvd, Suite 115, Mission Hills, CA 91345 Phone: 818-365-6339 Fax: 818-361-6684 | |