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1255945366
PHOENIX WISDOM TEETH, LLC
GLENDALE, AZ
NPI
1255945366
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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
Business Address
PHOENIX WISDOM TEETH, LLC
17037 N 43RD AVE # A4A
GLENDALE, AZ 85308-4026
Phone number: 801-406-8670
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Mailing Address
PHOENIX WISDOM TEETH, LLC
5513 W 11000 N # 226
HIGHLAND, UT 84003-8012
Phone number:
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