| 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 |