Daniel Petrisor Dmd MD LLC

NPI #1194280685 in Tualatin, Oregon

Provider Information

NPI Number
1194280685
Entity Type
Organization
Organization Name
Daniel Petrisor Dmd MD LLC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Feb 8, 2019
Last Updated
Feb 8, 2019

Practice Location

Address
6464 SW BORLAND RD STE D3
State
Oregon
ZIP Code
97062-8861
Phone
(214) 316-5743

Authorized Official

Name
DR. DANIEL PETRISOR, DMD, MD
Title
OWNER
Phone
(214) 316-5743

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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