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SANTA FE ORAL SURGERY, LLC

Oral and Maxillofacial Surgery

Santa Fe, New Mexico

Provider NPI: 1508287541

Organization Information:
Organization Name:  SANTA FE ORAL SURGERY, LLC
Organization is not Subpart
Authorized Official:  REBECCA J MARTINEZ  PRACTICE MANAGER  505-9840694

Practice Location:
2100 CALLE DELA VUEILA STE B103 B103 SANTA FE, NM 87505 US
Tel: 505-984-0694  Fax: 505-983-3270

Business Mailing Address:
2100 CALLE DELA VUEILA STE B103 B103 SANTA FE, NM 87505 US
Tel: 505-984-0694  Fax: 505-983-3270

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
NMDD3886





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