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Stephen Ray Jensen Dds, Llc
Dental Clinic/Center in Las Cruces, New Mexico
NPI 1497037402

Stephen Ray Jensen Dds, Llc is a Dental Clinic/Center based in Las Cruces, NM and is specialized in Dental. Stephen Ray Jensen Dds, Llc practices in Las Cruces, NM. The NPI Number for Stephen Ray Jensen Dds, Llc is 1497037402 and holds a License No. DD3479 (New Mexico).

The current practice location address for Stephen Ray Jensen Dds, Llc is 1161 Mall Dr Ste A, Las Cruces, NM and can be reached out via phone at 575-522-1779 and via fax at 575-522-4789.

Location: 1161 Mall Dr Ste A, Las Cruces, NM, 88011-8193
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497037402
Provider Name
Stephen Ray Jensen Dds, Llc
Credential
Provider Entity Type
Organization
Address
1161 Mall Dr Ste A, Las Cruces, NM, 88011-8193
Phone Number
575-522-1779
Fax Number
575-522-4789
Provider Enumeration Date
09/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1161 Mall Dr Ste A
City
Las Cruces
State
New Mexico
Zip
88011-8193
Phone Number
575-522-1779
Fax Number
575-522-4789
person
Provider Business Mailing Address Details
Address
1161 Mall Dr Ste A
City
Las Cruces
State
New Mexico
Zip
88011-8193
Phone Number
575-522-1779
Fax Number
575-522-4789
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DD3479 (New Mexico)
Definition
Definition to come...
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