Brad Wyatt, DMD Valid NPI

Individual provider · Dentist · Allen, TX

NPI

1013064260

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

26432 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2007-01-03

Last updated

2016-10-07