BRAD EDWARD PEZOLDT

MODESTO, CA
NPI1669539292
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA  41206)
Enumeration Date2007-01-02
Last Update Date2009-08-11
Business Address
Dr. BRAD EDWARD PEZOLDT DDS MSD
1316 COFFEE RD STE D10
MODESTO, CA 95355-3191
Phone number: 209-524-2988
Mailing Address
Dr. BRAD EDWARD PEZOLDT DDS MSD
4320 ALSACE LN
MODESTO, CA 95356-8945
Phone number: 209-524-2988