DR. Pedar Braden Didriksen, DDS

NPI #1093890436 in Berlin, Maryland

Provider Information

NPI Number: 1093890436
Entity Type: Individual
Name: DR. Pedar Braden Didriksen, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 26, 2006
Last Updated: Mar 22, 2019

Practice Location

Address: 11310 MANKLIN CREEK RD UNIT 5
City: Berlin
State: Maryland
ZIP Code: 21811-4013
Phone: (410) 208-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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