Organization · Type 2 NPI

Jac W. Pedersen Ii, D.d.s., Inc

Pediatric Dentistry · San Luis Obispo, CA

NPI number 1194803049 Active

Practice location

620 California Blvd Ste H
San Luis Obispo, CA 93401-2500

Call (805) 544-8111 Map

Fax (805) 544-6309

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X27472 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1194803049

Jac W. Pedersen Ii, D.d.s., Inc's National Provider Identifier is 1194803049, issued on Nov 1, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in San Luis Obispo, CA. The record was last updated on Aug 22, 2020.