Wyatt, Alfred Dyonisius
Wyatt, Alfred Dyonisius is an sole proprietor health care provider with primary practice located at 6230 Old National Hwy , College Park GA 30349-4330. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wyatt, Alfred Dyonisius can be contacted via phone (770) 994-7811.Contact Information
Primary practice address
6230 Old National Hwy
College Park GA 30349-4330
Phone: (770) 994-7811
Fax: (770) 994-7764
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 10071 | Georgia |
Profile Details
NPI number | 1730196189 |
---|---|
LBN Legal business name | Wyatt, Alfred Dyonisius |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 1st, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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