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1841844354
CARLY CHRISTOFERSON PETERSEN
LAKE OSWEGO, OR
NPI
1841844354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D11110)
Enumeration Date
2019-08-01
Last Update Date
2022-03-01
Business Address
Dr. CARLY CHRISTOFERSON PETERSEN DMD
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035-3446
Phone number: 503-636-8446
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Mailing Address
Dr. CARLY CHRISTOFERSON PETERSEN DMD
3900 DOUGLAS WAY
LAKE OSWEGO, OR 97035-3446
Phone number: 503-636-8446
Copy
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