Organization
PHOENIX WISDOM TEETH, LLC
Active
Organization
PHOENIX WISDOM TEETH, LLC
Active
Other names
Wisdom Teeth Guys
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ARNOLD (MANAGING MEMBER)
(801) 406-8670
Entity
Organization
Contact information
Practice address
17037 N 43RD AVE # A4A, GLENDALE, AZ 85308-4026
(801) 406-8670
Mailing address
5513 W 11000 N # 226, HIGHLAND, UT 84003-8012
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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