Organization
PEDER JENSEN, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZELMA SEYMORE (OFFICE MANAGER)
(501) 758-6182
Entity
Organization
Contact information
Practice address
2501 CRESTWOOD RD, STE 102, NORTH LITTLE ROCK, AR 72116-6864
(501) 758-6182
(501) 758-6184
Mailing address
2501 CRESTWOOD RD, STE 102, NORTH LITTLE ROCK, AR 72116-6864
(501) 758-6182
(501) 758-6184
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2544
AR
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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