Individual
DR. JOSHUA A WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3308 S DALE MABRY HWY, TAMPA, FL 33629-7818
(813) 835-0090
Mailing address
3308 S DALE MABRY HWY, TAMPA, FL 33629-7818
(813) 835-0090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18714
FL
1223G0001X
General Practice Dentistry
DN18714
FL
Other
Enumeration date
06/11/2009
Last updated
10/11/2021
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