Peter Daniel Carlesimo, DDS

NPI #1902898307 in Salem, Oregon

Provider Information

NPI Number: 1902898307
Entity Type: Individual
Name: Peter Daniel Carlesimo, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 22, 2005
Last Updated: Oct 6, 2022

Practice Location

Address: 3490 LANCASTER DR NE
City: Salem
State: Oregon
ZIP Code: 97305-1356
Phone: (855) 433-6825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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