Individual
MR. BRETT ANDREW WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
52 N TU SU LN, BISHOP, CA 93514-8058
(760) 873-3443
(760) 873-3889
Mailing address
138 COYOTE RD, BISHOP, CA 93514-9432
(760) 872-3080
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH10477
CA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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