Individual
JOEY PEDRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1188 ROADRUNNER WAY, SIMI VALLEY, CA 93065-3158
(805) 526-1188
Mailing address
1188 ROADRUNNER WAY, SIMI VALLEY, CA 93065-3158
(805) 526-1188
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
60095
CA
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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