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Organization
GILBERT SONOMA ORAL SURGERY, P.C.
Active
Organization
GILBERT SONOMA ORAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAYNE JENSEN MD,DMD (OWNER)
(480) 279-3113
Entity
Organization
Contact information
Practice address
7400 S POWER RD STE 136, GILBERT, AZ 85297-9284
(480) 279-3113
Mailing address
7400 S POWER RD STE 136, GILBERT, AZ 85297-9284
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/21/2023
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