Organization
KYLE E PEDERSEN DDS PC
Active
Other names
Dayspring Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE E PEDERSEN DDS (OWNER)
(630) 587-4444
Entity
Organization
Contact information
Practice address
2570 FOXFIELD RD, STE 203, ST CHARLES, IL 60174-1406
(630) 587-4444
(630) 587-5811
Mailing address
2570 FOXFIELD RD, STE 203, ST CHARLES, IL 60174-1406
(630) 587-4444
(630) 587-5811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
021001694
IL
Other
Enumeration date
10/01/2007
Last updated
03/07/2011
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