| West Valley Oral Surgery Pc | |
|
4071 S 4000 W Ste 2a West Valley UT 84120-4143 | |
| (801) 285-9693 | |
| Not Available |
| Full Name | West Valley Oral Surgery Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4071 S 4000 W Ste 2a, West Valley, Utah |
| Authorized Official Name and Position | Dayne Jensen (OWNER) |
| Authorized Official Contact | 8016987121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Valley Oral Surgery Pc 1108 E South Union Ave Midvale UT 84047-2904 Ph: () - | West Valley Oral Surgery Pc 4071 S 4000 W Ste 2a West Valley UT 84120-4143 Ph: (801) 285-9693 |
| NPI Number | 1962152884 |
|---|---|
| Provider Enumeration Date | 03/24/2022 |
| Last Update Date | 07/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962152884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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