Wisdom Teeth Only

NPI #1528518909 in Provo, Utah

Provider Information

NPI Number: 1528518909
Entity Type: Organization
Organization Name: Wisdom Teeth Only
Primary Specialty: Dentist
Enumeration Date: Oct 10, 2016
Last Updated: Oct 10, 2016

Practice Location

Address: 2230 N UNIVERSITY PKWY STE 8A
City: Provo
State: Utah
ZIP Code: 84604-6702
Phone: (801) 370-0050

Authorized Official

Name: MS. ELIZABETH GARCIA
Title: OFFICE MANAGER
Phone: (801) 370-0050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Clinical Nurse Specialist	364S00000X

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