Kenneth Howard Peskin, D.D.S. Valid NPI

Individual provider · Oral and Maxillofacial Surgery (Dentist) · Skokie, IL

NPI

1619983244

Type

Individual (Type 1)

Primary specialty

Oral and Maxillofacial Surgery (Dentist) (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223S0112X

Sex

Male

Sole proprietor

Yes

Enumerated

2006-08-01

Last updated

2007-07-08