Individual provider · Type 1 NPI
Peter Thomas Soderstrom, DDS, MS
Prosthodontics · Modesto, CA
NPI number
1104944537
Active
Practice location
1605 Timothy Ave Ste A
Modesto, CA 95350-4419
Fax (209) 544-1008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 36835 (CA) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Other prosthodontics providers in Modesto
About NPI 1104944537
Peter Thomas Soderstrom, DDS, MS's National Provider Identifier is 1104944537, issued on Mar 26, 2007. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Modesto, CA. The record was last updated on Jul 8, 2007.