Organization · Type 2 NPI

Stephen Ray Jensen Dds, LLC

Dental Clinic/Center · Las Cruces, NM

NPI number 1497037402 Active

Practice location

1161 Mall Dr Ste A
Las Cruces, NM 88011-8193

Fax (575) 522-4789

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XDD3479 (NM)

Dental Clinic/Center: Definition to come...

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About NPI 1497037402

Stephen Ray Jensen Dds, LLC's National Provider Identifier is 1497037402, issued on Sep 15, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Las Cruces, NM. The record was last updated on Sep 15, 2011.