| Kent H. Wyatt, D.d.s., P.c. | |
|
512 E Whitehouse Canyon Rd Suite 120 Green Valley AZ 85614-0500 | |
| (520) 625-6167 | |
| (520) 625-6169 |
| Full Name | Kent H. Wyatt, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 512 E Whitehouse Canyon Rd, Green Valley, Arizona |
| Authorized Official Name and Position | Kent H. Wyatt (PRESIDENT) |
| Authorized Official Contact | 5206256167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kent H. Wyatt, D.d.s., P.c. 512 E Whitehouse Canyon Rd Suite 120 Green Valley AZ 85614-0500 Ph: (520) 625-6167 | Kent H. Wyatt, D.d.s., P.c. 512 E Whitehouse Canyon Rd Suite 120 Green Valley AZ 85614-0500 Ph: (520) 625-6167 |
| NPI Number | 1396705109 |
|---|---|
| Provider Enumeration Date | 03/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396705109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | D5837 (Arizona) | Primary |
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