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 |
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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 |
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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 |
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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 |
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› Verified 9 days ago
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 | |
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