DANIEL PETRISOR DMD, MD
Individual Provider (NPI-1)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1235332834- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD, MD
- Status
- Active
Contact & Location
- Address
- 3181 SW SAM JACKSON PARK RD, PORTLAND, OR, 972393011
- Phone
- (503) 494-8916
- Fax
- (503) 494-6783
Specialties & Taxonomies
Oral & Maxillofacial Surgery
Primary License: OR #MD154906
Dentist, Oral and Maxillofacial Surgery
License: OR #D9059