Carly K Christoferson Dmd PC
NPI #1548917321 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1548917321
- Entity Type
- Organization
- Organization Name
- Carly K Christoferson Dmd PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 2, 2022
- Last Updated
- Mar 2, 2022
Practice Location
- Address
- 3900 DOUGLAS WAY
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-3446
- Phone
- (503) 636-8446
Authorized Official
- Name
- CARLY CHRISTOFERSON PETERSEN, DMD
- Title
- PRESIDENT
- Phone
- (503) 758-8174
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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