Valley Oral & Facial Surgery PC

NPI #1093133696 in Grand Forks, North Dakota

Provider Information

NPI Number
1093133696
Entity Type
Organization
Organization Name
Valley Oral & Facial Surgery PC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Apr 1, 2014
Last Updated
May 19, 2014

Practice Location

Address
1165 S COLUMBIA RD STE C
ZIP Code
58201-4007
Phone
(701) 772-7379

Authorized Official

Name
DR. TROY RICHARD PETERSEN, DMD MD
Title
PRESIDENT
Phone
70017727379

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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