Carly Petersen, DMD

NPI 1841844354 · on the registry since 2019 · sole proprietor

Practice

Address: 3900 Douglas Way
Lake Oswego, OR 97035
Phone: (503) 636-8446
Fax: (503) 636-4446
Organisation at this address: Wikle Dentistry Llc
Carly K Christoferson Dmd Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-03-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon