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Dr. Peter Thomas Soderstrom, DDS,MS
Prosthodontist in Modesto, California
NPI 1104944537

Peter Thomas Soderstrom is a Prosthodontist based in Modesto, CA and is specialized in Prosthodontics. Peter Thomas Soderstrom practices in Modesto, CA and has the professional credentials of DDS,MS. The NPI Number for Peter Thomas Soderstrom is 1104944537 and holds a License No. 36835 (California).

The current practice location address for Peter Thomas Soderstrom is 1605 Timothy Ave Ste A, Modesto, CA and can be reached out via phone at 209-544-0404 and via fax at 209-544-1008. You can also correspond with Peter Thomas Soderstrom through the mailing address at 1605 TIMOTHY AVE STE A, MODESTO, CA - 95350-4419 (mailing address contact number: 209-544-0404).

Location: 1605 Timothy Ave Ste A, Modesto, CA, 95350-4419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104944537
Provider Name
Peter Thomas Soderstrom
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
1605 Timothy Ave Ste A, Modesto, CA, 95350-4419
Phone Number
209-544-0404
Fax Number
209-544-1008
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1605 Timothy Ave Ste A
City
Modesto
State
California
Zip
95350-4419
Phone Number
209-544-0404
Fax Number
209-544-1008
person
Provider Business Mailing Address Details
Address
1605 Timothy Ave Ste A
City
Modesto
State
California
Zip
95350-4419
Phone Number
209-544-0404
Fax Number
209-544-1008
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
1223P0700X
License No.
36835 (California)
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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