Dr Wisdom Teeth
NPI #1992298533 in San Tan Valley, Arizona
Provider Information
- NPI Number
- 1992298533
- Entity Type
- Organization
- Organization Name
- Dr Wisdom Teeth
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 8, 2018
- Last Updated
- Jun 8, 2018
Practice Location
- Address
- 287 E HUNT HWY STE 101
- City
- San Tan Valley
- State
- Arizona
- ZIP Code
- 85143-5096
- Phone
- (833) 394-7366
Authorized Official
- Name
- DR. JEFFREY FENN, DMD
- Title
- OWNER
- Phone
- (702) 325-7627
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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