Jac W Pedersen II DDS
Jac W Pedersen II DDS provides Pediatric Dentistry in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
3221 S Higuera St Ste 100San Luis Obispo, CA 93401-6924 Not confirmed with CMS for 18 years — call before visiting
Phone: (805) 544-8111
Fax: (805) 544-6309
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 27472 (CA) |
|---|
Record details
| NPI number | 1407014541 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jac Pedersen — Owner · (805) 544-8111 |
| NPI enumerated | May 27, 2008 |
| Last updated in NPPES | May 27, 2008 |
| Mailing address | 3221 S Higuera St Ste 100, San Luis Obispo, CA 93401-6924 |
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A. Pedersen Dental Corporation
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A. Pedersen Dental Corporation
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Dr. James A Forester, DDS
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Jac W. Pedersen II, DDS, Inc
620 California Blvd Ste H, San Luis Obispo, CA 93401-2500 · (805) 544-8111
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Larry V Smith DDS Inc
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Newsom Forester Dental Partnership
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Pacific Pediatric Dentistry
1231 Osos St, San Luis Obispo, CA 93401-3619 · (805) 544-3434