Individual
DR. RYAN E JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
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 DR, SANTA FE, NM 87505-4038
(505) 982-4317
(505) 982-8663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3139
NM
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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