Organization
UTAH WISDOM TEETH, LLC
Active
Other names
Wisdom Teeth Guys
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JOSHUA SMITH DDS (MANAGING MEMBER)
(801) 694-8378
Entity
Organization
Contact information
Practice address
1030 E 11400 S STE 2A, SANDY, UT 84094-6906
(801) 406-8670
Mailing address
5406 W 11000 N STE 103-226, HIGHLAND, UT 84003-8942
(801) 899-5512
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7359070
UT
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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