Individual
SARAH J. PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, CDHC
Contact information
Practice address
1811 MEADOW LN, EAU CLAIRE, WI 54701-7900
(715) 836-0127
Mailing address
1811 MEADOW LN, EAU CLAIRE, WI 54701-7900
(715) 836-0127
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4176-016
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33806200
—
WI
Enumeration date
06/27/2007
Last updated
07/08/2007
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