Organization · Type 2 NPI

Jac W Pedersen II DDS

Pediatric Dentistry · San Luis Obispo, CA

NPI number 1407014541 Active

Practice location

3221 S Higuera St Ste 100
San Luis Obispo, CA 93401-6924

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 1407014541

Jac W Pedersen II DDS's National Provider Identifier is 1407014541, issued on May 27, 2008. 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 May 27, 2008.