Stephen Ray Jensen Dds, LLC
NPI #1497037402 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1497037402
- Entity Type
- Organization
- Organization Name
- Stephen Ray Jensen Dds, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 15, 2011
- Last Updated
- Sep 15, 2011
Practice Location
- Address
- 1161 MALL DR STE A
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88011-8193
- Phone
- (575) 522-1779
Authorized Official
- Name
- DR. STEPHEN JENSEN, DDS
- Title
- ORTHODONTIST/OWNER
- Phone
- (575) 522-1779
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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