Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER THOMAS SODERSTROM, DDS, MS
Active Sole ProprietorDR. PETER THOMAS SODERSTROM, DDS, MS is a Pediatric Dentistry healthcare provider located in MODESTO, California. NPI 1104944537 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · MODESTO, CA
Registration Details
- NPI Number
- 1104944537
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2007 (19.431586038695 yrs)
- Last Updated
- Jul 8, 2007
- License
-
36835 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1605 TIMOTHY AVE STE AMODESTO, CA, 953504419Browse CA providers · Browse ZIP 95350
- Phone
- 2095440404
- Fax
- 2095441008
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Other Pediatric Dentistry Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| JOHN FUJIKAWA | DDS | 1467781716 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.