Organization
UTAH NAVAJO HEALTH SYSTEM, INCORPORATED
Active
Other names
San Juan Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JENSEN (CHIEF EXECUTIVE OFFICER)
(435) 651-3713
Entity
Organization
Contact information
Practice address
217 S. 100 WEST, MONTICELLO, UT 84535
(435) 587-2528
Mailing address
PO BOX 130, MONTEZUMA CREEK, UT 84534-0130
(435) 651-3700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/08/2016
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