DR. Wyatt L Smith, DDS

NPI #1356564512 in Gary, Indiana

Provider Information

NPI Number: 1356564512
Entity Type: Individual
Name: DR. Wyatt L Smith, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Apr 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5010 BROADWAY
City: Gary
State: Indiana
ZIP Code: 46408-4606
Phone: (219) 887-6053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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