DR. Gary L Wyatt, DDS

NPI #1003978602 in Costa Mesa, California

Provider Information

NPI Number: 1003978602
Entity Type: Individual
Name: DR. Gary L Wyatt, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: DDS
Enumeration Date: Dec 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1801 NEWPORT BOULEVARD
Address 2: SUITE C
City: Costa Mesa
State: California
ZIP Code: 92627
Phone: (949) 650-1030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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Individual Providers

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DR. Massoud Kashanchi, DDS	Dentist - Oral and Maxillofacial Surgery	Costa Mesa	AI Deep Dive
Divya Reddy Peddireddy, D.D.S	Dentist - Oral and Maxillofacial Surgery	Costa Mesa	AI Deep Dive
DR. Thomas R Michaelis, DDS MD	Dentist - Oral and Maxillofacial Surgery	Costa Mesa	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Al Khateeb D.d.s Dental Corporation	Dentist - Oral and Maxillofacial Surgery	Costa Mesa	AI Deep Dive

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