Individual
MR. RICHARD DENNIS WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
153 BURNHAM LN, DOVER, DE 19904-3830
(302) 345-5322
(302) 678-0743
Mailing address
153 BURNHAM LN, DOVER, DE 19904-3830
(302) 345-5322
(302) 678-0743
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2005209092
DE
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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