Oral Surgery Center of Bismarck, PC
NPI #1477723591 in Bismarck, North Dakota
Provider Information
- NPI Number
- 1477723591
- Entity Type
- Organization
- Organization Name
- Oral Surgery Center of Bismarck, PC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Mar 4, 2008
- Last Updated
- Apr 14, 2014
Practice Location
- Address
- 3117 N 14TH ST
- City
- Bismarck
- State
- North Dakota
- ZIP Code
- 58503-0664
- Phone
- (701) 221-2719
Authorized Official
- Name
- DR. MANSUREH S IRAVANI, DMD, MD
- Title
- OWNER
- Phone
- (701) 221-2719
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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