Individual
ERIKA M WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
86 W ESPERANZA BLVD, GREEN VALLEY, AZ 85614-2877
(520) 625-7790
(520) 399-3341
Mailing address
1950 S COUNTRY CLUB DR, MESA, AZ 85210-6008
(480) 644-9399
(480) 668-7790
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5991
AZ
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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