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1700983780
WAYNE N PEDERSEN
VACAVILLE, CA
NPI
1700983780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 031510)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- WAYNE N PEDERSEN DDS
1010 NUT TREE RD SUITE 280
VACAVILLE, CA 95687-4172
Phone number: 707-447-1010
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Mailing Address
-- WAYNE N PEDERSEN DDS
1010 NUT TREE RD SUITE 280
VACAVILLE, CA 95687-4172
Phone number: 707-447-1010
Copy
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