Organization
SURREY HILLS DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD SCOTT WYATT DDS (PRESIDENT)
(405) 373-2255
Entity
Organization
Contact information
Practice address
12316 N MUSTANG RD, YUKON, OK 73099-8166
(405) 373-2255
(405) 373-2256
Mailing address
11117 SURREY HILLS BLVD, YUKON, OK 73099-8155
(405) 373-2255
(405) 373-2256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4778
OK
Other
Enumeration date
08/08/2007
Last updated
04/07/2009
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