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1528444163
JORDAN PETERSCHMIDT
SALEM, OR
NPI
1528444163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OR D10308)
Enumeration Date
2015-08-05
Last Update Date
2015-08-05
Business Address
Dr. JORDAN PETERSCHMIDT DMD
470 GLEN CREEK RD NW
SALEM, OR 97304-3060
Phone number: 541-905-3816
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Mailing Address
Dr. JORDAN PETERSCHMIDT DMD
PO BOX 8021
SALEM, OR 97303-0224
Phone number: 541-905-3816
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