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1013064260
BRAD WYATT
ALLEN, TX
NPI
1013064260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 26432)
Enumeration Date
2007-01-03
Last Update Date
2016-10-07
Business Address
-- BRAD WYATT DMD
300 W BOYD DR
ALLEN, TX 75013-2518
Phone number: 972-727-3941
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Mailing Address
-- BRAD WYATT DMD
PO BOX 65
ALLEN, TX 75013-0002
Phone number: 972-727-3941
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