Pedoeem, Victoria S
Pedoeem, Victoria S is an individual health care provider with primary practice located at 3426 Kennedy Blvd , Jersey City NJ 07307-4106. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Pedoeem, Victoria S can be contacted via phone (201) 217-9670.Contact Information
Primary practice address
3426 Kennedy Blvd
Jersey City NJ 07307-4106
Phone: (201) 217-9670
Fax: (201) 217-9671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DI16997 | New Jersey |
Profile Details
| NPI number | 1679557102 |
|---|---|
| LBN Legal business name | Pedoeem, Victoria S |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679557102 | NPPES |
| New Jersey | MEDICAID | 2105501 |
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