PETER THOMAS SODERSTROM

MODESTO, CA
NPI1104944537
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: CA  36835)
Enumeration Date2007-03-26
Last Update Date2007-07-08
Business Address
Dr. PETER THOMAS SODERSTROM DDS, MS
1605 TIMOTHY AVE STE A
MODESTO, CA 95350-4419
Phone number: 209-544-0404
Mailing 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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