| Wyatt Dental Corporation | |
|
1100 Sonoma Ave Ste B Santa Rosa CA 95405-8901 | |
| (707) 546-3791 | |
| (707) 546-9732 |
| Full Name | Wyatt Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1100 Sonoma Ave Ste B, Santa Rosa, California |
| Authorized Official Name and Position | Cherylin H. Wyatt (DENTIST) |
| Authorized Official Contact | 7075463791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyatt Dental Corporation 1100 Sonoma Ave Ste B Santa Rosa CA 95405-8901 Ph: (707) 546-3791 | Wyatt Dental Corporation 1100 Sonoma Ave Ste B Santa Rosa CA 95405-8901 Ph: (707) 546-3791 |
| NPI Number | 1184038929 |
|---|---|
| Provider Enumeration Date | 06/19/2014 |
| Last Update Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184038929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 58495 (California) | Primary |
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