DR. THOMAS PEDAVOLI, DDS
Dentist - General Practice
Active
Individual
NPI: 1134148349
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 12008862 (IN) |
Frequently Asked Questions
NPI 1134148349 is the National Provider Identifier for DR. THOMAS PEDAVOLI, DDS, a Dentist - General Practice provider located in South Bend, IN. This NPI was enumerated on July 19, 2006.
DR. THOMAS PEDAVOLI, DDS practices at 1005 E LASALLE AVE, South Bend, IN 46617.
Quick Facts
- NPI
- 1134148349
- Type
- Individual
- Enumerated
- Jul 19, 2006
- Last Updated
- Jul 8, 2007
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