| Daniel Petrisor Dmd Md Llc | |
|
6464 Sw Borland Rd Ste D3 Tualatin OR 97062-8861 | |
| (214) 316-5743 | |
| Not Available |
| Full Name | Daniel Petrisor Dmd Md Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6464 Sw Borland Rd Ste D3, Tualatin, Oregon |
| Authorized Official Name and Position | Daniel Petrisor (OWNER) |
| Authorized Official Contact | 2143165743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Petrisor Dmd Md Llc 6464 Sw Borland Rd Ste D3 Tualatin OR 97062-8861 Ph: () - | Daniel Petrisor Dmd Md Llc 6464 Sw Borland Rd Ste D3 Tualatin OR 97062-8861 Ph: (214) 316-5743 |
| NPI Number | 1194280685 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 02/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194280685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Edward D. Lacy, Dmd. Fagd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8220 Sw Warm Springs St, Suite 200, Tualatin, OR 97062 Phone: 503-692-0337 Fax: 503-692-0792 | |
Three Rivers Oral And Facial Surgery Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6464 Sw Borland Rd Ste D3, Tualatin, OR 97062 Phone: 503-692-5654 | |
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Tualatin Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18803 Sw Boones Ferry Rd, Suite 5, Tualatin, OR 97062 Phone: 503-692-3747 Fax: 503-612-6948 | |
Warm Springs Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8220 Sw Warm Springs St, Ste 200, Tualatin, OR 97062 Phone: 503-692-0337 | |
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