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Dr. Jac W Pedersen II, DDS
Pediatric Dentist in San Luis Obispo, California
NPI 1952553091

Jac W Pedersen II is a Pediatric Dentist based in San Luis Obispo, CA and is specialized in Pediatric Dentistry. Jac W Pedersen II practices in San Luis Obispo, CA and has the professional credentials of DDS. The NPI Number for Jac W Pedersen II is 1952553091 and holds a License No. 27472 (California).

The current practice location address for Jac W Pedersen II is 3221 S Higuera St, 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, San Luis Obispo, CA, 93401-6924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952553091
Provider Name
Jac W Pedersen II
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3221 S Higuera St, San Luis Obispo, CA, 93401-6924
Phone Number
805-544-8111
Fax Number
805-544-6309
Provider Enumeration Date
10/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3221 S Higuera St
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
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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