| NPI | 1801051503 |
|---|---|
| Doing Business As | WYATT ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | TRACY D WYATT President 702-242-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV S3-163) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |