Easy Wisdom Teeth LLC

NPI #1568866119 in West Valley City, Utah

Provider Information

NPI Number: 1568866119
Entity Type: Organization
Organization Name: Easy Wisdom Teeth LLC
Primary Specialty: Dentist
Enumeration Date: Oct 10, 2014
Last Updated: Oct 10, 2014

Practice Location

Address: 2222 W 3500 S
Address 2: A1
City: West Valley City
State: Utah
ZIP Code: 84119-3464
Phone: (801) 886-3379

Authorized Official

Name: DR. KEN JOHN MARZ, DDS
Title: OWNER
Phone: (801) 886-3379

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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