Individual
TYLER PETERSCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4120 QUEST DR, EUGENE, OR 97402-8768
(541) 688-7278
(541) 334-6604
Mailing address
850 BOBOLINK AVE, EUGENE, OR 97404-1512
(541) 905-4116
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10097
OR
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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