NPI | 1255945366 |
---|---|
Doing Business As | WISDOM TEETH GUYS |
Entity Type | Organization |
Authorized Contact | RYAN ARNOLD Managing Member 801-406-8670 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2020-09-04 |
Last Update Date | 2020-09-04 |