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Dr. Carly Christoferson Petersen, DMD
General Practice Dentistry in Lake Oswego, Oregon
NPI 1841844354

Carly Christoferson Petersen is a General Practice Dentistry based in Lake Oswego, OR and is specialized in General Practice. Carly Christoferson Petersen practices in Lake Oswego, OR and has the professional credentials of DMD. The NPI Number for Carly Christoferson Petersen is 1841844354 and holds a License No. D11110 (Oregon).

The current practice location address for Carly Christoferson Petersen is 3900 Douglas Way, Lake Oswego, OR and can be reached out via phone at 503-636-8446 and via fax at 503-636-4446.

Location: 3900 Douglas Way, Lake Oswego, OR, 97035-3446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841844354
Provider Name
Carly Christoferson Petersen
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
3900 Douglas Way, Lake Oswego, OR, 97035-3446
Phone Number
503-636-8446
Fax Number
503-636-4446
Provider Enumeration Date
08/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3900 Douglas Way
City
Lake Oswego
State
Oregon
Zip
97035-3446
Phone Number
503-636-8446
Fax Number
503-636-4446
person
Provider Business Mailing Address Details
Address
3900 Douglas Way
City
Lake Oswego
State
Oregon
Zip
97035-3446
Phone Number
503-636-8446
Fax Number
503-636-4446
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D11110 (Oregon)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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