Individual
DR. BRIAN L WYCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1305 EAST KIRK, HUGO, OK 74743
(580) 326-9631
(580) 326-5440
Mailing address
1305 EAST KIRK, HUGO, OK 74743
(580) 326-9631
(580) 326-5440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
73368
OK
Other
Enumeration date
04/03/2007
Last updated
09/05/2007
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