Individual
JOHN C WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2885 SPRING ARBOR RD, JACKSON, MI 49203-3607
(517) 787-0900
(517) 787-6363
Mailing address
2885 SPRING ARBOR RD, JACKSON, MI 49203-3607
(517) 787-0900
(517) 787-6363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10935
MI
Other
Enumeration date
05/08/2006
Last updated
02/26/2009
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