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Jac W Pedersen Ii Dds
Pediatric Dentist in San Luis Obispo, California
NPI 1407014541

Jac W Pedersen Ii Dds is a Pediatric Dentist based in San Luis Obispo, CA and is specialized in Pediatric Dentistry. Jac W Pedersen Ii Dds practices in San Luis Obispo, CA. The NPI Number for Jac W Pedersen Ii Dds is 1407014541 and holds a License No. 27472 (California).

The current practice location address for Jac W Pedersen Ii Dds is 3221 S Higuera St Ste 100, San Luis Obispo, CA and can be reached out via phone at 805-544-8111 and via fax at 805-544-6309.

Location: 3221 S Higuera St Ste 100, San Luis Obispo, CA, 93401-6924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407014541
Provider Name
Jac W Pedersen Ii Dds
Credential
Provider Entity Type
Organization
Address
3221 S Higuera St Ste 100, San Luis Obispo, CA, 93401-6924
Phone Number
805-544-8111
Fax Number
805-544-6309
Provider Enumeration Date
05/27/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3221 S Higuera St Ste 100
City
San Luis Obispo
State
California
Zip
93401-6924
Phone Number
805-544-8111
Fax Number
805-544-6309
person
Provider Business Mailing Address Details
Address
3221 S Higuera St Ste 100
City
San Luis Obispo
State
California
Zip
93401-6924
Phone Number
805-544-8111
Fax Number
805-544-6309
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
27472 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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