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Organization
ST. GEORGE RED ROCKS PC
Active
Organization
ST. GEORGE RED ROCKS PC
Active
Other names
St. George Red Rocks PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAYNE R JENSEN DMD (ORAL SURGEON/OWNER)
(801) 997-9017
Entity
Organization
Contact information
Practice address
624 S 1000 E STE 107, ST GEORGE, UT 84790-5902
(435) 289-6600
(435) 289-6900
Mailing address
624 S 1000 E STE 107, ST GEORGE, UT 84790-5902
(435) 289-6600
(435) 289-6900
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
10/06/2022
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