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Individual

DR. BRUCE J CARSTENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD, PC

Contact information

Practice address
6751 SE THIESSEN RD STE A, MILWAUKIE, OR 97267-1800
(503) 786-7792
(503) 794-8372
Mailing address
6751 SE THIESSEN RD STE A, MILWAUKIE, OR 97267-1800
(503) 786-7792
(503) 794-8372

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6405
OR

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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