Amy M Wyatt, DMD

NPI #1396755856 in Carbondale, Illinois

Provider Information

NPI Number: 1396755856
Entity Type: Individual
Name: Amy M Wyatt, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 101 S WALL ST
City: Carbondale
State: Illinois
ZIP Code: 62901-3021
Phone: (618) 529-2621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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