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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