J.michael Wyatt Inc.p.c.
NPI #1780858654 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1780858654
- Entity Type
- Organization
- Organization Name
- J.michael Wyatt Inc.p.c.
- Primary Specialty
- Point of Service
- Enumeration Date
- Apr 22, 2008
- Last Updated
- Apr 22, 2008
Practice Location
- Address
- 736 NW 63RD ST
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73116-7602
- Phone
- (405) 842-0033
Authorized Official
- Name
- DR. JERRY MICHAEL WYATT, D.D.S.
- Title
- PRESIDENT/DENTIST
- Phone
- (405) 842-0033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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