San Juan Oral & Facial Surgery
San Juan Oral & Facial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Farmington, New Mexico. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
2990 E Pinon Frontage Rd Ste 102Farmington, NM 87402-5068
Phone: (505) 333-8635
Fax: (505) 258-4909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X |
|---|
Record details
| NPI number | 1104228329 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Beverly Bradford — Office Manager · (505) 333-8635 |
| NPI enumerated | September 18, 2014 |
| Last updated in NPPES | March 3, 2021 |
| Certification date | March 3, 2021 |
| Mailing address | 2990 E Pinon Frontage Rd Ste 102, Farmington, NM 87402-5068 |
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