Valley Oral & Facial Surgery PC
NPI #1396978136 in Fargo, North Dakota
Provider Information
- NPI Number
- 1396978136
- Entity Type
- Organization
- Organization Name
- Valley Oral & Facial Surgery PC
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Aug 27, 2009
- Last Updated
- Aug 27, 2009
Practice Location
- Address
- 2701 9TH AVE S STE F
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-8712
- Phone
- (701) 772-7379
Authorized Official
- Name
- DR. TROY RICHARD PETERSEN, DMD MD
- Title
- PRESIDENT
- Phone
- (701) 772-7379
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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