DANIEL PETRISOR

PORTLAND, OR
NPI1235332834
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: OR  MD154906)
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: OR  D9059)
Enumeration Date2007-06-09
Last Update Date2025-07-16
Business Address
DANIEL PETRISOR DMD, MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8916
Mailing Address
DANIEL PETRISOR DMD, MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8916