| NPI | 1043967813 |
|---|---|
| Other Name | ORAL-MAXILLOFACIAL SURGERY ASSOCIATES OF NEW MEXICO |
| Entity Type | Organization |
| Authorized Contact | DAYNE JENSEN Owner 801-698-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |