Organization
LEGACY HEIGHTS SURGERY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAYNE JENSEN MD (OWNER/SURGEON)
(801) 335-6086
Entity
Organization
Contact information
Practice address
1379 N 1075 W STE 100B, FARMINGTON, UT 84025-2711
(801) 335-6086
(801) 335-6087
Mailing address
1379 N 1075 W STE 100B, FARMINGTON, UT 84025-2711
(801) 335-6086
(801) 335-6087
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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