Individual
DR. EVAN PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9401 SW HIGHWAY 200, SUITE 101, OCALA, FL 34481-9612
(352) 873-2000
Mailing address
4900 SW 46TH CT, APT 902, OCALA, FL 34474-6264
(815) 975-8758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D20055
FL
Other
Enumeration date
03/22/2013
Last updated
07/12/2013
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