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1003978602
GARY L WYATT
COSTA MESA, CA
NPI
1003978602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA 22313)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
Dr. GARY L WYATT DDS
1801 NEWPORT BOULEVARD SUITE C
COSTA MESA, CA 92627
Phone number: 949-650-1030
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Mailing Address
Dr. GARY L WYATT DDS
1401 AVOCADO AVENUE SUITE 506
NEWPORT BEACH, CA 92660
Phone number: 949-760-1661
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