Kyle E Pedersen DDS PC

NPI #1760679005 in St Charles, Illinois

Provider Information

NPI Number: 1760679005
Entity Type: Organization
Organization Name: Kyle E Pedersen DDS PC
Primary Specialty: Dentist
Enumeration Date: Oct 1, 2007
Last Updated: Mar 7, 2011

Practice Location

Address: 2570 FOXFIELD RD
Address 2: STE 203
City: St Charles
State: Illinois
ZIP Code: 60174-1406
Phone: (630) 587-4444

Authorized Official

Name: DR. KYLE E PEDERSEN, DDS
Title: OWNER
Phone: (630) 587-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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