| Stephen Ray Jensen Dds, Llc | |
|
1161 Mall Dr Ste A Las Cruces NM 88011-8193 | |
| (575) 522-1779 | |
| (575) 522-4789 |
| Full Name | Stephen Ray Jensen Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1161 Mall Dr Ste A, Las Cruces, New Mexico |
| Authorized Official Name and Position | Stephen Jensen (ORTHODONTIST/OWNER) |
| Authorized Official Contact | 5755221779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Ray Jensen Dds, Llc 1161 Mall Dr Ste A Las Cruces NM 88011-8193 Ph: (575) 522-1779 | Stephen Ray Jensen Dds, Llc 1161 Mall Dr Ste A Las Cruces NM 88011-8193 Ph: (575) 522-1779 |
| NPI Number | 1497037402 |
|---|---|
| Provider Enumeration Date | 09/15/2011 |
| Last Update Date | 09/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497037402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DD3479 (New Mexico) | Primary |
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