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 |
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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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