Individual
DR. ROBERT DANIEL PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
272 S COLLINS RD STE 100, SUNNYVALE, TX 75182-4643
(972) 216-1871
Mailing address
2619 MCKINNEY AVE APT 602, DALLAS, TX 75204-3019
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
33741
TX
Other
Enumeration date
07/14/2011
Last updated
10/29/2021
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