PETERSON ORTHODONTICS & PERIODONTICS, LLC

LAKE OSWEGO, OR
NPI1457875700
Doing Business AsLAKE OSWEGO ORTHODONTICS & PERIODONTICS
Doing Business AsLAKE OSWEGO PERIODONTICS
Doing Business AsLAKE OSWEGO ORTHODONTICS
Entity TypeOrganization
Authorized ContactVANESSA N B PETERSON
Orthodontist, Member Of LLC
909-518-7743
Organization Subpart ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
Additional Taxonomies1223P0300X Dentist, Periodontics
Enumeration Date2017-07-28
Last Update Date2018-06-16
Business Address
PETERSON ORTHODONTICS & PERIODONTICS, LLC
15962 BOONES FERRY RD STE 108
LAKE OSWEGO, OR 97035-4359
Phone number: 503-699-6569
Mailing Address
PETERSON ORTHODONTICS & PERIODONTICS, LLC
4420 SE 51ST AVE
PORTLAND, OR 97206-3910
Phone number: