Brent Peak, LAC

NPI 1376088492 · on the registry since 2016 · sole proprietor

Practice

Address: 13460 N 94th Dr
Suite K3
Peoria, AZ 85381
Phone: (623) 974-3333
Organisation at this address: Half Dental Inc
Core Family Dental
Pet Scan Arizona Llc
Joseph A Caplan Md Pc
Kanzan Enterprises Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 94

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-12-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona