DR. Thomas Pedavoli, DDS

NPI #1134148349 in South Bend, Indiana

Provider Information

NPI Number: 1134148349
Entity Type: Individual
Name: DR. Thomas Pedavoli, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1005 E LASALLE AVE
City: South Bend
State: Indiana
ZIP Code: 46617-2818
Phone: (574) 245-7503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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