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:
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Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679557102 NPPES
New Jersey MEDICAID 2105501

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