OrganizationActive
Daniel Petrisor DMD MD LLC
NPI 1194280685 · Oral and Maxillofacial Surgery (Dentist) · Tualatin, OR
Provider details
- NPI number
- 1194280685
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Daniel Petrisor, Owner(214) 316-5743
Specialties & taxonomies
Dental Providers
Practice location
6464 Sw Borland Rd Ste D3
Tualatin, OR 97062-8861
Phone: (214) 316-5743
Approximate (ZIP-level) locationGet directions
Mailing address
6464 Sw Borland Rd Ste D3
Tualatin, OR 97062-8861
Registry dates
- Enumerated
- 2019-02-08
- Last updated
- 2019-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.