JONATHAN MICHAEL BROWN PETERSEN

ROSEBURG, OR
NPI1821433848
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: OR  D10421)
Enumeration Date2013-05-03
Last Update Date2016-07-14
Business Address
-- JONATHAN MICHAEL BROWN PETERSEN D.M.D.
500 SE DOUGLAS AVE
ROSEBURG, OR 97470-3120
Phone number: 541-672-5721
Mailing Address
-- JONATHAN MICHAEL BROWN PETERSEN D.M.D.
2282 NW CALKINS AVE
ROSEBURG, OR 97471-1800
Phone number: 801-336-8621
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