Organization
WYATT DENTAL GROUP, LLC
Active
Parent organization
LISA WYATT, D.D.S.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LISA WYATT, D.D.S.
Authorized official
DR. LISA WYATT DDS (OWNER/DENTIST)
(504) 885-1039
Entity
Organization
Contact information
Practice address
5037 VETERANS MEMORIAL BLVD, STE 3E, METAIRIE, LA 70006-5136
(504) 885-1039
(504) 885-2028
Mailing address
5037 VETERANS MEMORIAL BLVD, STE 3E, METAIRIE, LA 70006
(504) 885-1039
(504) 885-2028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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