CARLY CHRISTOFERSON PETERSEN

LAKE OSWEGO, OR
NPI1841844354
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OR  D11110)
Enumeration Date2019-08-01
Last Update Date2022-03-01
Business Address
DR. CARLY CHRISTOFERSON PETERSEN DMD
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035-3446
Phone number: 503-636-8446
Mailing Address
DR. CARLY CHRISTOFERSON PETERSEN DMD
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035-3446
Phone number: 503-636-8446
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