David a Wyatt, Dds, Lls

NPI #1811093545 in Boardman, Ohio

Provider Information

NPI Number: 1811093545
Entity Type: Organization
Organization Name: David a Wyatt, Dds, Lls
Primary Specialty: Dentist
Enumeration Date: Sep 16, 2006
Last Updated: Nov 14, 2007

Practice Location

Address: 99 DEBARTOLO PL
City: Boardman
State: Ohio
ZIP Code: 44512
Phone: (330) 758-2348

Authorized Official

Name: DR. DAVID A WYATT, DDS
Title: OWNER
Phone: (330) 758-2348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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