Organization
PENDLETON G WALDRON DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PENDLETON F WALDRON DDS (PRESIDENT)
(828) 464-9220
Entity
Organization
Contact information
Practice address
430 WEST 20TH ST, NEWTON, NC 28658
(828) 464-9220
(828) 464-9234
Mailing address
430 WEST 20TH ST, NEWTON, NC 28658
(828) 464-9220
(828) 464-9234
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3233
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8998815
—
NC
Enumeration date
04/10/2008
Last updated
04/10/2008
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