NPI | 1568974434 |
---|---|
Doing Business As | WISDOM TEETH GUYS |
Entity Type | Organization |
Authorized Contact | JOHN JOSHUA SMITH Managing Member 801-694-8378 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: UT 7359070) |
Enumeration Date | 2017-10-31 |
Last Update Date | 2017-10-31 |