Peder Pedersen

NPI #1134325343 in St. Louis, Missouri

Provider Information

NPI Number
1134325343
Entity Type
Individual
Name
Peder Pedersen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Enumeration Date
Jun 25, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
SPECTRUM HEALTHCARE RESOURCES
Address 2
12647 OLIVE BLVD
ZIP Code
63141
Phone
(800) 325-3982

Specialties & Taxonomy Codes

Specialty
Dentist

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