Organization · Type 2 NPI

Santa Fe Oral Surgery, LLC

Oral and Maxillofacial Surgery (Dentist) · Santa Fe, NM

NPI number 1508287541 Active

Practice location

2100 Calle Dela Vueila Ste B103, B103
Santa Fe, NM 87505-4749

Fax (505) 983-3270

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDD3886 (NM)

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 1508287541

Santa Fe Oral Surgery, LLC's National Provider Identifier is 1508287541, issued on Dec 17, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Santa Fe, NM. The record was last updated on Dec 26, 2019.