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1952553091
JAC W PEDERSEN
SAN LUIS OBISPO, CA
NPI
1952553091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA 27472)
Enumeration Date
2008-10-21
Last Update Date
2008-10-21
Business Address
Dr. JAC W PEDERSEN D.D.S.
3221 S HIGUERA ST STE. 100
SAN LUIS OBISPO, CA 93401-6924
Phone number: 805-544-8111
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Mailing Address
Dr. JAC W PEDERSEN D.D.S.
3221 S HIGUERA ST STE. 100
SAN LUIS OBISPO, CA 93401-6924
Phone number: 805-544-8111
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