Individual
DR. WYATT J KNECHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1322 VIVIAN ST, LONGMONT, CO 80501-3217
(303) 532-7088
Mailing address
1322 VIVIAN ST, LONGMONT, CO 80501-3217
(303) 532-7088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00205660
CO
Other
Enumeration date
06/06/2023
Last updated
08/27/2024
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