| NPI | 1184038929 |
|---|---|
| Former Legal Business Name | CHERYLIN H. WYATT |
| Entity Type | Organization |
| Authorized Contact | CHERYLIN H. WYATT Dentist 707-546-3791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 58495) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2024-09-26 |