Organization
A. PEDERSEN DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE PEDERSEN DDS (DENTIST)
(805) 922-9626
Entity
Organization
Contact information
Practice address
4251 S HIGUERA ST STE 401, SAN LUIS OBISPO, CA 93401-7714
(805) 922-9626
(805) 922-9177
Mailing address
1414 S MILLER ST STE J, SANTA MARIA, CA 93454-6915
(805) 922-9626
(805) 922-9177
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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