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 |