ORAL SURGERY CENTER OF BISMARCK PC NPI 1477723591

NPI Information

ORAL SURGERY CENTER OF BISMARCK, PC is an oral and maxillofacial surgery dentist in Bismarck, 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. ORAL SURGERY CENTER OF BISMARCK, PC NPI is 1477723591. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3117 N 14TH ST
BISMARCK, ND
ZIP 58503-664
Phone: (701) 221-2719
Fax: (701) 221-2819

The provider's authorized official is Mansureh S Iravani .
The authorized official title is Owner and has the following contact phone number (701) 221-2719.

The enumeration date for this NPI number is 3/4/2008 and was last updated on 4/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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