Individual
MRS. DANIELA VALLE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3990
(617) 665-3989
Mailing address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3990
(617) 665-3989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL14708
MA
Other
Enumeration date
06/23/2021
Last updated
04/24/2024
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