Individual
DR. PETER LOREN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1201 N STONEWALL AVE, SUITE 206, OKLAHOMA CITY, OK 73117-1214
(405) 271-4441
(405) 271-1134
Mailing address
17032 WOODVINE DR, EDMOND, OK 73012-7911
(405) 509-0361
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
343
OK
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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