Individual
DR. KAI PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9200
(520) 533-5246
Mailing address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9200
(520) 533-5246
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012042
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D012042
STATE LICENSE
AZ
Enumeration date
06/30/2021
Last updated
08/06/2025
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