| NPI | 1750971719 |
|---|---|
| Doing Business As | MARIPOSA PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANNE C PEDERSEN Owner/Dentist 805-922-9626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2021-01-24 |
| Last Update Date | 2021-01-24 |