Organization
WISDOM TEETH NOW LLC
Active
Other names
Wisdom Teeth Now
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN (OWNER)
(801) 879-1048
Entity
Organization
Contact information
Practice address
5801 S FASHION BLVD STE 195, MURRAY, UT 84107-6159
(801) 983-6802
(801) 983-6803
Mailing address
PO BOX 900421, SANDY, UT 84090-0421
(801) 879-1048
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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