Individual
DR. DAVID A WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
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
01/07/2008
Last updated
01/07/2008
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