Individual
ANDREA MARIE PEZOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
200 C ST, PATTERSON, CA 95363-2701
(209) 892-6307
(209) 892-2633
Mailing address
737 WEST CHILDS AVENUE, MERCED, CA 95340-6805
(209) 383-1848
(209) 384-3966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43072
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43072
DENTAL LICENSE
CA
Enumeration date
11/02/2006
Last updated
03/07/2023
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