Organization · Type 2 NPI

San Juan Oral & Facial Surgery

Oral and Maxillofacial Surgery (Dentist) · Farmington, NM

NPI number 1104228329 Active

Practice location

2990 E Pinon Frontage Rd Ste 102
Farmington, NM 87402-5068

Fax (505) 258-4909

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1104228329

San Juan Oral & Facial Surgery's National Provider Identifier is 1104228329, issued on Sep 18, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Farmington, NM. The record was last updated on Mar 3, 2021.