-- GARY THEODORE PEDERSON -- D.D.S.
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1447258223- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.D.S.
- Status
- Active
Contact & Location
- Address
- 1565 LIBERTY ST SE, SALEM, OR, 973024345
- Phone
- (503) 581-0223
- Fax
- (503) 581-6794
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: OR #D4658