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Organization
PEDERSEN DENTISTRY, PLLC
Active
Organization
PEDERSEN DENTISTRY, PLLC
Active
Other names
Rochester Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD RICHARD PEDERSEN DDS (MEMBER)
(585) 469-5433
Entity
Organization
Contact information
Practice address
400 WESTFALL RD, ROCHESTER, NY 14620-4606
(585) 473-3880
Mailing address
18 ALAMEDA DR, FAIRPORT, NY 14450-8790
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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