Individual
DR. WYATT S DANNELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2964 E LONGHORN DR, GILBERT, AZ 85297-2139
(480) 209-5722
Mailing address
2964 E LONGHORN DR, GILBERT, AZ 85297-2139
(480) 209-5722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
008812
AZ
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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