# YUMA SONOMA ORAL SURGERY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356096606
- **Authorized official:** DR. DAYNE JENSEN MD, DMD (OWNER)
- **Authorized official phone:** (801) 698-7121

## Contact information

- **Practice address:** 120 W 24TH ST, YUMA, AZ 85364-8551
- **Practice address phone:** (928) 329-6447
- **Mailing address:** 1325 W 16TH ST, YUMA, AZ 85364-4496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 02/15/2022
- **Last updated:** 06/05/2025