KENNETH ROBERT WYATT

CUMMING, GA
NPI1295806461
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  012032)
Enumeration Date2006-11-10
Last Update Date2014-06-11
Business Address
Dr. KENNETH ROBERT WYATT DMD
285 ELM ST SUITE 200
CUMMING, GA 30040-8233
Phone number: 770-887-2915
Mailing Address
Dr. KENNETH ROBERT WYATT DMD
9020 CHAMPION CT
BALL GROUND, GA 30107-7018
Phone number: 770-888-3072
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