Individual
MR. BRADLEY D WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
701 INDIAN TRL STE C, HARKER HEIGHTS, TX 76548-3054
(254) 698-0641
(254) 698-0644
Mailing address
701 INDIAN TRL STE C, HARKER HEIGHTS, TX 76548-3054
(254) 698-0641
(254) 698-0644
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
32874
TX
Other
Enumeration date
06/17/2014
Last updated
09/07/2017
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