| NPI | 1659009348 |
|---|---|
| Doing Business As | WISDOM TEETH NOW |
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN Owner 801-879-1048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-08-10 |