Individual
DR. SHARLA E WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6230 OLD NATIONAL HWY, COLLEGE PARK, GA 30349-4330
(770) 994-7811
Mailing address
6230 OLD NATIONAL HWY, COLLEGE PARK, GA 30349-4330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014884
GA
1223G0001X
General Practice Dentistry
DN14884
GA
Other
Enumeration date
09/30/2014
Last updated
01/21/2025
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