Individual
DR. ALFRED DYONISIUS WYATT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6230 OLD NATIONAL HWY, COLLEGE PARK, GA 30349-4330
(770) 994-7811
(770) 994-7764
Mailing address
6230 OLD NATIONAL HWY, COLLEGE PARK, GA 30349-4330
(770) 994-7811
(770) 994-7764
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10071
GA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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