Individual
WILLIAM M. WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
117 LOUIS HENNA BLVD, SUITE B-230, ROUND ROCK, TX 78664-7343
(512) 238-7449
(512) 238-9615
Mailing address
3701 KIRBY DR, SUITE 550, HOUSTON, TX 77098-3900
(512) 238-7449
(512) 238-9615
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21634
TX
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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