| NPI | 1568080497 |
|---|---|
| Doing Business As | WISDOM TEETH GUYS |
| Entity Type | Organization |
| Authorized Contact | RYAN ARNOLD Administrator 801-899-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |