Individual
WYATT EMERSON DENTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
907 OUTER RD, 907 OUTER RD SUITE B, ORLANDO, FL 32814
(407) 217-1401
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/30/2025
Last updated
01/27/2026
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