Valley Oral & Facial Surgery PC

NPI #1801959788 in Grand Forks, North Dakota

Provider Information

NPI Number
1801959788
Entity Type
Organization
Organization Name
Valley Oral & Facial Surgery PC
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Dec 19, 2006
Last Updated
May 14, 2014

Practice Location

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

Authorized Official

Name
DR. TROY R. PETERSEN, DMD MD
Title
PRESIDENT
Phone
(701) 772-7379

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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Provider Name
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Organizations

Provider Name
Trinity Health

Part of Trinity Health

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