Organization
CARLY M. PETERSCHMIDT, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLY PETERSCHMIDT DMD (DENTIST)
(541) 941-6558
Entity
Organization
Contact information
Practice address
622 E 22ND AVENUE, SUITE A, EUGENE, OR 97408
(541) 687-2343
(541) 505-9258
Mailing address
622 E 22ND AVE STE A, EUGENE, OR 97405-2989
(541) 687-2343
(541) 505-9258
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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