Individual
DR. PATRICK RAY WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12528 WARWICK BLVD, SUITE F, NEWPORT NEWS, VA 23606-2676
(757) 595-7990
(757) 595-7991
Mailing address
12528 WARWICK BLVD, SUITE F, NEWPORT NEWS, VA 23606-2676
(757) 595-7990
(757) 595-7991
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
05498
VA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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