Legacy Heights Surgery Center PC

NPI #1992403661 in Farmington, Utah

Provider Information

NPI Number
1992403661
Entity Type
Organization
Organization Name
Legacy Heights Surgery Center PC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Feb 21, 2023
Last Updated
Feb 21, 2023

Practice Location

Address
1379 N 1075 W STE 100B
State
Utah
ZIP Code
84025-2711
Phone
(801) 335-6086

Authorized Official

Name
DAYNE JENSEN, MD
Title
OWNER/SURGEON
Phone
(801) 335-6086

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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