institution
San Juan Oral & Facial Surgery
Oral and Maxillofacial Surgery (Dentist) in Farmington, New Mexico
NPI 1104228329

San Juan Oral & Facial Surgery is a Oral and Maxillofacial Surgery (Dentist) based in Farmington, NM and is specialized in Oral and Maxillofacial Surgery. San Juan Oral & Facial Surgery practices in Farmington, NM. The NPI Number for San Juan Oral & Facial Surgery is 1104228329 and holds a License No. (New Mexico).

The current practice location address for San Juan Oral & Facial Surgery is 2990 E Pinon Frontage Rd Ste 102, Farmington, NM and can be reached out via phone at 505-333-8635 and via fax at 505-258-4909. You can also correspond with San Juan Oral & Facial Surgery through the mailing address at 2990 E PINON FRONTAGE RD STE 102, FARMINGTON, NM - 87402-5068 (mailing address contact number: 505-333-8635).

Location: 2990 E Pinon Frontage Rd Ste 102, Farmington, NM, 87402-5068
institution
Provider Profile Details
NPI Number
1104228329
Provider Name
San Juan Oral & Facial Surgery
Credential
Provider Entity Type
Organization
Address
2990 E Pinon Frontage Rd Ste 102, Farmington, NM, 87402-5068
Phone Number
505-333-8635
Fax Number
505-258-4909
Provider Enumeration Date
09/18/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
27077748 05 NM
institution
Provider Business Practice Location Address Details
Address
2990 E Pinon Frontage Rd Ste 102
City
State
Zip
87402-5068
Phone Number
505-333-8635
Fax Number
505-258-4909
person
Provider Business Mailing Address Details
Address
2990 E Pinon Frontage Rd Ste 102
City
State
Zip
87402-5068
Phone Number
505-333-8635
Fax Number
505-258-4909
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
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Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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