Provider Demographics
NPI:1669510269
Name:PECHAK, JOCHEN PETER (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOCHEN
Middle Name:PETER
Last Name:PECHAK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 UPPER RAGSDALE DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-7831
Mailing Address - Country:US
Mailing Address - Phone:831-648-8800
Mailing Address - Fax:831-648-8811
Practice Address - Street 1:21 UPPER RAGSDALE DR
Practice Address - Street 2:SUITE 202
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-7831
Practice Address - Country:US
Practice Address - Phone:831-648-8800
Practice Address - Fax:831-648-8811
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA479861223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics