JAC W. PEDERSEN II, D.D.S., INC is a pediatric dentistry dentist in San Luis Obispo, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. JAC W. PEDERSEN II, D.D.S., INC NPI is 1194803049. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
620 CALIFORNIA BLVD STE H
SAN LUIS OBISPO, CA
ZIP 93401-500
Phone: (805) 544-8111
Fax: (805) 544-6309
The provider's authorized official is Jac W. Pedersen .
The authorized official title is Owner and has the following contact phone number (805) 544-8111.
The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.