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Organization

EASY WISDOM TEETH LLC

Active
Other names
Easy Wisdom Teeth
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEN JOHN MARZ DDS (OWNER)
(801) 886-3379
Entity
Organization

Contact information

Practice address
2222 W 3500 S, A1, WEST VALLEY CITY, UT 84119-3464
(801) 886-3379
Mailing address
2222 W 3500 S, A1, WEST VALLEY CITY, UT 84119-3464
(801) 886-3379

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
275551-9922
UT

Other

Enumeration date
10/10/2014
Last updated
10/10/2014
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