Charles Wyatt

NPI #1992863567 in Euless, Texas

Provider Information

NPI Number
1992863567
Entity Type
Individual
Name
Charles Wyatt
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1201 AIRPORT FWY
Address 2
SUITE 299
City
Euless
State
Texas
ZIP Code
76040-4177
Phone
(817) 540-2552

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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