Individual
DR. ROBERT STEVEN WYLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8540 S SEPULVEDA BLVD, SUITE 1211, LOS ANGELES, CA 90045-3807
(310) 670-5827
(310) 670-1454
Mailing address
8540 S SEPULVEDA BLVD, SUITE 1211, LOS ANGELES, CA 90045-3807
(310) 670-5827
(310) 670-1454
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
28834
CA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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