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Organization
WISDOM TEETH GUYS - TEXAS, PLLC
Active
Organization
WISDOM TEETH GUYS - TEXAS, PLLC
Active
Other names
Wisdom Teeth Guys
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN JOHNSON DDS (MANAGING MEMBER)
(702) 299-5821
Entity
Organization
Contact information
Practice address
6401 S COOPER ST STE 105, ARLINGTON, TX 76001-6752
(214) 317-4039
Mailing address
5406 W 11000 N STE 103-226, HIGHLAND, UT 84003-8942
(801) 899-5512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22989
TX
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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