| Wisdom Teeth Centers Llc | |
|
263 Country Clb Ste 103 Stansbury Park UT 84074-9602 | |
| (801) 566-8833 | |
| Not Available |
| Full Name | Wisdom Teeth Centers Llc |
|---|---|
| Speciality | Dentist |
| Location | 263 Country Clb Ste 103, Stansbury Park, Utah |
| Authorized Official Name and Position | Joseph S Maio (OWNER/DENTIST) |
| Authorized Official Contact | 8015668833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisdom Teeth Centers Llc Po Box 708130 Sandy UT 84070-8130 Ph: (801) 566-8833 | Wisdom Teeth Centers Llc 263 Country Clb Ste 103 Stansbury Park UT 84074-9602 Ph: (801) 566-8833 |
| NPI Number | 1295212884 |
|---|---|
| Provider Enumeration Date | 07/26/2018 |
| Last Update Date | 07/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295212884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 341237 (Utah) | Primary |
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