Organization
JENSEN DENTAL AND ASSOCATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN E. JENSEN D.M.D. (OWNER/DENTIST)
(505) 982-4317
Entity
Organization
Contact information
Practice address
1496 S SAINT FRANCIS DR, SANTA FE, NM 87505-4038
(505) 982-4317
(505) 982-8663
Mailing address
1496 S. SAINT FRANCIS DRIVE, SANTA FE, NM 87505
(505) 982-4317
(505) 982-8663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3139
NM
Other
Enumeration date
12/02/2009
Last updated
02/04/2010
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