VALLEY ORAL & FACIAL SURGERY PC NPI 1093133696

NPI Information

VALLEY ORAL & FACIAL SURGERY PC is an oral and maxillofacial surgery dentist in Grand Forks, ND. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. VALLEY ORAL & FACIAL SURGERY PC NPI is 1093133696. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1165 S COLUMBIA RD STE C
GRAND FORKS, ND
ZIP 58201-007
Phone: (701) 772-7379
Fax: (701) 772-9643

The provider's authorized official is Troy Richard Petersen .
The authorized official title is President and has the following contact phone number 70017727379.

The enumeration date for this NPI number is 4/1/2014 and was last updated on 5/19/2014.

Taxonomy Codes

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