Organization
SAN ANTONIO WISDOM TEETH, PLLC
Active
Other names
Wisdom Teeth Guys
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ARNOLD (ADMINISTRATOR)
(801) 899-5512
Entity
Organization
Contact information
Practice address
13535 HAUSMAN PASS #102-A, SAN ANTONIO, TX 78249
(214) 307-4039
Mailing address
5406 W 11000 N # 226, HIGHLAND, UT 84003-8942
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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