Individual
BRETT DAWSON WYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1614 N BENTON AVE, SPRINGFIELD, MO 65803-2804
(417) 862-9925
(417) 862-4541
Mailing address
1614 N BENTON AVE, SPRINGFIELD, MO 65803-2804
(417) 862-9925
(417) 862-4541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015514
MO
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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