Individual provider · Type 1 NPI
Lillian Petersen, CDL, LD
Denturist · Florence, OR
NPI number
1699198663
Active
Practice location
524 Laurel Street
Florence, OR 97439-0004
Fax (541) 997-6054
Mailing address
PO Box 96
Florence, OR 97439-0004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Denturist Primary | 122400000X | DT DO 706283 (OR) |
Denturist: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
Other denturist providers in Florence
About NPI 1699198663
Lillian Petersen, CDL, LD's National Provider Identifier is 1699198663, issued on Jan 28, 2014. The primary taxonomy on file is Denturist (122400000X), and the practice location is in Florence, OR. The record was last updated on Sep 23, 2014.