Organization
DAVID A WYATT, DDS, LLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A WYATT DDS (OWNER)
(330) 758-2348
Entity
Organization
Contact information
Practice address
99 DEBARTOLO PL, BOARDMAN, OH 44512
(330) 758-2348
(330) 758-0481
Mailing address
99 DEBARTOLO PL, BOARDMAN, OH 44512
(330) 758-2348
(330) 758-0481
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18305
OH
Other
Enumeration date
09/16/2006
Last updated
11/14/2007
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