Individual
DR. CARLY PETERSCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2420 NW PROFESSIONAL DR, SUITE 150, CORVALLIS, OR 97330-3990
(541) 758-6587
Mailing address
850 BOBOLINK AVE, EUGENE, OR 97404-1512
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10080
OR
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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