Individual
C LEE WYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
16524 CHENAL PKWY, LITTLE ROCK, AR 72223-5920
(501) 821-4200
(501) 821-2994
Mailing address
16524 CHENAL PKWY, LITTLE ROCK, AR 72223-5920
(501) 821-4200
(501) 821-2994
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2479
AR
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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