DR. Ellen Renee Wyant, D.M.D.

NPI #1144389396 in Niles, Michigan

Provider Information

NPI Number
1144389396
Entity Type
Individual
Name
DR. Ellen Renee Wyant, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Dec 6, 2006
Last Updated
Mar 3, 2015

Practice Location

Address
104 GRANT ST
City
Niles
ZIP Code
49120-2201
Phone
(269) 683-1077

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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