WYATT L SMITH

GARY, IN
NPI1356564512
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  8147)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
Dr. WYATT L SMITH DDS
5010 BROADWAY
GARY, IN 46408-4606
Phone number: 219-887-6053
Mailing Address
Dr. WYATT L SMITH DDS
5010 BROADWAY
GARY, IN 46408-4606
Phone number: 219-887-6053
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