| NPI | 1407014541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAC W PEDERSEN Owner 805-544-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 27472) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |