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Jac Pedersen, D.D.S
NPI 1952553091 · on the registry since 2008 · sole proprietor
Practice
- Address
- 3221 S Higuera St
Ste. 100
San Luis Obispo, CA 93401 - Phone
- (805) 544-8111
- Fax
- (805) 544-6309
- Organisation at this address
- Jac W Pedersen Ii Dds
Vikram R. Tiku, Dds, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Pediatric Dentistry
1223P0221X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California