Pedersen Professional Dental
NPI #1427286061 in Irvine, California
Provider Information
- NPI Number
- 1427286061
- Entity Type
- Organization
- Organization Name
- Pedersen Professional Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 22, 2009
- Last Updated
- Jun 22, 2009
Practice Location
- Address
- 4980 BARRANCA PKWY STE 206
- City
- Irvine
- State
- California
- ZIP Code
- 92604-8655
- Phone
- (949) 379-3245
Authorized Official
- Name
- CHRISTINE R PEREA, R.D.A., B.S.
- Title
- OFFICE ADMINISTRATION
- Phone
- (949) 379-3245
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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