DR. Keith G. Wyckoff, DMD

NPI #1225096712 in Fort Stewart, Georgia

Provider Information

NPI Number
1225096712
Entity Type
Individual
Name
DR. Keith G. Wyckoff, DMD
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
May 3, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
351 W 6TH ST
Address 2
SUITE 100
State
Georgia
ZIP Code
31314-4703
Phone
(912) 767-6735

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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