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Organization
UTAH WISDOM TEETH, LLC
Active
Organization
UTAH WISDOM TEETH, LLC
Active
Other names
Wisdom Teeth Guys
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JOSHUA SMITH DDS (MANAGING MEMBER)
(801) 694-8378
Entity
Organization
Contact information
Practice address
1030 E 11400 S STE 2A, SANDY, UT 84094-6906
(801) 406-8670
Mailing address
5406 W 11000 N STE 103-226, HIGHLAND, UT 84003-8942
(801) 899-5512
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7359070
UT
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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