LILLIAN PETERSEN

FLORENCE, OR
NPI1699198663
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122400000X Denturist
(Licence: OR  DT DO 706283)
Enumeration Date2014-01-28
Last Update Date2014-09-23
Business Address
-- LILLIAN PETERSEN CDL, LD
524 LAUREL STREET
FLORENCE, OR 97439-0004
Phone number: 541-997-6054
Mailing Address
-- LILLIAN PETERSEN CDL, LD
PO BOX 96
FLORENCE, OR 97439-0004
Phone number: 541-997-6054