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1881822104
PETER LOREN CARLSON
OKLAHOMA CITY, OK
NPI
1881822104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OK 343)
Enumeration Date
2009-06-25
Last Update Date
2009-06-25
Business Address
Dr. PETER LOREN CARLSON D.D.S
1201 N STONEWALL AVE SUITE 206
OKLAHOMA CITY, OK 73117-1214
Phone number: 405-271-4441
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Mailing Address
Dr. PETER LOREN CARLSON D.D.S
17032 WOODVINE DR
EDMOND, OK 73012-7911
Phone number: 405-509-0361
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