GARY THEODORE PEDERSON

SALEM, OR
NPI1447258223
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OR  D4658)
Enumeration Date2005-07-14
Last Update Date2007-07-17
Business Address
-- GARY THEODORE PEDERSON D.D.S.
1565 LIBERTY ST SE
SALEM, OR 97302-4345
Phone number: 503-581-0223
Mailing Address
-- GARY THEODORE PEDERSON D.D.S.
1565 LIBERTY ST SE
SALEM, OR 97302-4345
Phone number: 503-581-0223
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