Organization
LYDIA C. WYATT, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDIA CLAIRE WYATT D.D.S. (OWNER)
(702) 220-9555
Entity
Organization
Contact information
Practice address
9500 W FLAMINGO RD, SUITE 200, LAS VEGAS, NV 89147-5719
(702) 220-9555
Mailing address
9500 W FLAMINGO RD, SUITE 200, LAS VEGAS, NV 89147-5719
(702) 220-9555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4340
NV
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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