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 |
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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 |
News Archive
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