Victoria S. Pedoeem, Dds | |
3426 Kennedy Blvd. Jersey City NJ 07307 | |
(201) 217-9670 | |
(201) 217-9671 |
Full Name | Victoria S. Pedoeem, Dds |
---|---|
Speciality | Dentist - General Practice |
Location | 3426 Kennedy Blvd., Jersey City, New Jersey |
Authorized Official Name and Position | Victoria S Pedoeem (PRESIDENT OWNER) |
Authorized Official Contact | 2012179670 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Victoria S. Pedoeem, Dds 3426 Kennedy Blvd. Jersey City NJ 07307 Ph: (201) 217-9670 | Victoria S. Pedoeem, Dds 3426 Kennedy Blvd. Jersey City NJ 07307 Ph: (201) 217-9670 |
NPI Number | 1023188455 |
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Provider Enumeration Date | 11/09/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023188455 | NPI | - | NPPES |
2105501 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DI16997 (New Jersey) | Primary |
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