Organization
WISE CHOICE DENTISTRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABRAHAM RODRIGUES (VICE PRESIDENT)
(801) 374-5200
Entity
Organization
Contact information
Practice address
777 N 500 W, SUITE 201 B, PROVO, UT 84601-1541
(801) 374-5200
(801) 375-2464
Mailing address
777 N 500 W, SUITE 201 B, PROVO, UT 84601-1541
(801) 374-5200
(801) 375-2464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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