Individual
DR. JOHN P PEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1406 KINGSLEY AVENUE, ORANGE PARK, FL 32073
(904) 264-4510
(904) 264-4519
Mailing address
1406 KINGSLEY AVENUE, ORANGE PARK, FL 32073
(904) 264-4510
(904) 264-4519
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4675
FL
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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