PEDER PEDERSEN

ST. LOUIS, MO
NPI1134325343
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AZ  D4207)
Enumeration Date2007-06-25
Last Update Date2007-07-08
Business Address
-- PEDER PEDERSEN
SPECTRUM HEALTHCARE RESOURCES 12647 OLIVE BLVD
ST. LOUIS, MO 63141
Phone number: 800-325-3982
Mailing Address
-- PEDER PEDERSEN
5423 E BERYL AVE
SCOTTSDALE, AZ 85253-1164
Phone number: