Peterson Orthodontics & Periodontics, LLC
NPI #1457875700 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1457875700
- Entity Type
- Organization
- Organization Name
- Peterson Orthodontics & Periodontics, LLC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Jul 28, 2017
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 15962 BOONES FERRY RD STE 108
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-4359
- Phone
- (503) 699-6569
Authorized Official
- Name
- DR. VANESSA N B PETERSON, DDS, MS
- Title
- ORTHODONTIST, MEMBER OF LLC
- Phone
- (909) 518-7743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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