Individual
TODD B. WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
710 MARION ST, SUITE 302, SEARCY, AR 72143-4832
(501) 268-3666
(501) 268-0220
Mailing address
710 MARION ST, SUITE 302, SEARCY, AR 72143-4832
(501) 268-3666
(501) 268-0220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3325
AR
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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