Organization
SANTA FE ORAL SURGERY, LLC
Active
Other names
Sante Fe Oral Surgery LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA J MARTINEZ DDS/MD (PRACTICE MANAGER)
(505) 984-0694
Entity
Organization
Contact information
Practice address
2100 CALLE DELA VUEILA STE B103, B103, SANTA FE, NM 87505-4749
(505) 984-0694
(505) 983-3270
Mailing address
2100 CALLE DELA VUEILA STE B103, B103, SANTA FE, NM 87505-4749
(505) 984-0694
(505) 983-3270
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DD3886
NM
Other
Enumeration date
12/17/2013
Last updated
12/26/2019
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