Individual
WESLEY TYLER MCWATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2719 COLTSGATE RD, CHARLOTTE, NC 28211-3502
(704) 366-8707
Mailing address
2724 PHILLIPS AVE, CHARLOTTE, NC 28208-7030
(304) 881-3988
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13122
NC
Other
Enumeration date
04/28/2019
Last updated
01/03/2024
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