DANIEL PETRISOR, DMD, MD
Oral & Maxillofacial Surgery
Active
Individual
NPI: 1235332834
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Oral & Maxillofacial Surgery | 204E00000X | Yes | MD154906 (OR) |
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | No | D9059 (OR) |
Frequently Asked Questions
NPI 1235332834 is the National Provider Identifier for DANIEL PETRISOR, DMD, MD, a Oral & Maxillofacial Surgery provider located in Portland, OR. This NPI was enumerated on June 9, 2007.
DANIEL PETRISOR, DMD, MD practices at 3181 SW SAM JACKSON PARK RD, Portland, OR 97239.
Quick Facts
- NPI
- 1235332834
- Type
- Individual
- Enumerated
- Jun 9, 2007
- Last Updated
- Jul 16, 2025
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