| David a Wyatt, DDS, Lls | |
|
99 Debartolo Pl Boardman OH 44512 | |
| (330) 758-2348 | |
| (330) 758-0481 |
| Full Name | David a Wyatt, DDS, Lls |
|---|---|
| Speciality | Dentist |
| Location | 99 Debartolo Pl, Boardman, Ohio |
| Authorized Official Name and Position | David a Wyatt (OWNER) |
| Authorized Official Contact | 3307582348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David a Wyatt, DDS, Lls 99 Debartolo Pl Boardman OH 44512 Ph: (330) 758-2348 | David a Wyatt, DDS, Lls 99 Debartolo Pl Boardman OH 44512 Ph: (330) 758-2348 |
| NPI Number | 1811093545 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 11/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811093545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18305 (Ohio) | Primary |
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