Legacy Heights Oral & Facial Surgery Pllc
NPI #1912507153 in Farmington, Utah
Provider Information
- NPI Number
- 1912507153
- Entity Type
- Organization
- Organization Name
- Legacy Heights Oral & Facial Surgery Pllc
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Oct 27, 2020
- Last Updated
- Oct 27, 2020
Practice Location
- Address
- 193 S 200 W STE B
- City
- Farmington
- State
- Utah
- ZIP Code
- 84025-2406
- Phone
- (801) 698-7121
Authorized Official
- Name
- DAYNE ROBERT JENSEN, MD, DMD
- Title
- OWNER/ORAL SURGEON
- Phone
- (801) 698-7121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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