Individual
DONALD SCOTT WYATT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.SS
Contact information
Practice address
12316 N MUSTANG RD, YUKON, OK 73099-8166
(405) 373-2255
(405) 373-2256
Mailing address
12316 N MUSTANG RD, YUKON, OK 73099-8166
(405) 373-2255
(405) 373-2256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4778
OK
Other
Enumeration date
01/10/2006
Last updated
07/08/2007
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