JORDAN PETERSCHMIDT

SALEM, OR
NPI1528444163
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D10308)
Enumeration Date2015-08-05
Last Update Date2015-08-05
Business Address
Dr. JORDAN PETERSCHMIDT DMD
470 GLEN CREEK RD NW
SALEM, OR 97304-3060
Phone number: 541-905-3816
Mailing Address
Dr. JORDAN PETERSCHMIDT DMD
PO BOX 8021
SALEM, OR 97303-0224
Phone number: 541-905-3816