Individual
DR. BRANDON R WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
103 HAYWOOD PARK DR, CLYDE, NC 28721-4405
(828) 627-1050
(828) 627-1056
Mailing address
103 HAYWOOD PARK DR, CLYDE, NC 28721-4405
(828) 627-1050
(828) 627-1056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8590
NC
Other
Enumeration date
05/27/2008
Last updated
08/09/2011
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