WYATT AUSTIN RICHTER

EAST PATCHOGUE, NY
NPI1235837147
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NY  064164)
Enumeration Date2023-02-20
Last Update Date2024-09-11
Business Address
WYATT AUSTIN RICHTER
680 S COUNTRY RD
EAST PATCHOGUE, NY 11772-5551
Phone number: 631-475-1191
Mailing Address
WYATT AUSTIN RICHTER
SUNY AT STONY BROOK, DEPARTMENT OF HOSPITAL DENTISTRY WESTCHESTER HALL, ROOM 151
STONY BROOK, NY 11794-8711
Phone number: 631-444-2557
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