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Organization
PEDERSEN PROFESSIONAL DENTAL
Active
Organization
PEDERSEN PROFESSIONAL DENTAL
Active
Other names
Smile Central Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE R PEREA R.D.A., B.S. (OFFICE ADMINISTRATION)
(949) 379-3245
Entity
Organization
Contact information
Practice address
4980 BARRANCA PKWY STE 206, IRVINE, CA 92604-8655
(949) 379-3245
(949) 379-3248
Mailing address
4980 BARRANCA PKWY STE 206, IRVINE, CA 92604-8655
(949) 379-3245
(949) 379-3248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35443
CA
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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