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1104944537
PETER THOMAS SODERSTROM
MODESTO, CA
NPI
1104944537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist Prosthodontics
(Licence: CA 36835)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
DR. PETER THOMAS SODERSTROM DDS, MS
1605 TIMOTHY AVE STE A
MODESTO, CA 95350-4419
Phone number: 209-544-0404
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Mailing Address
DR. PETER THOMAS SODERSTROM DDS, MS
1605 TIMOTHY AVE STE A
MODESTO, CA 95350-4419
Phone number: 209-544-0404
Copy
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