DR. Carly Christoferson Petersen, DMD
NPI #1841844354 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1841844354
- Entity Type
- Individual
- Name
- DR. Carly Christoferson Petersen, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Aug 1, 2019
- Last Updated
- Mar 1, 2022
Practice Location
- Address
- 3900 DOUGLAS WAY
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-3446
- Phone
- (503) 636-8446
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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