Individual
DR. LYDIA CLAIRE WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1140 N TOWN CENTER DR, SUITE 170, LAS VEGAS, NV 89144-6379
(702) 220-9555
Mailing address
72 PANORAMA CREST AVE, LAS VEGAS, NV 89135-7831
(702) 220-9555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4340
NV
Other
Enumeration date
11/29/2006
Last updated
11/05/2009
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