Wyatt, Gary L
Wyatt, Gary L is an individual health care provider with primary practice located at 1801 Newport Boulevard Suite C, Costa Mesa CA 92627. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Wyatt, Gary L can be contacted via phone (949) 650-1030.Contact Information
Primary practice address
1801 Newport Boulevard Suite C
Costa Mesa CA 92627
Phone: (949) 650-1030
Fax: (949) 722-2481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 22313 | California |
Profile Details
| NPI number | 1003978602 |
|---|---|
| LBN Legal business name | Wyatt, Gary L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 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.
Popular Providers
-
Radecki, Cass Anthony
203 W Michigan Ave , Saline MI 48176-1329 -
Lapp, Thomas H
10972 Allisonville Rd Suite 100, Fishers IN 46038-2637 -
Erlichman, Michael C
703 Main Street St. Joseph'S Regional Medical Center, Paterson NJ 07503 -
Hiser, Paul Thomas
5565 Grossmont Center Dr Suite 129, La Mesa CA 91942-3020 -
Kashanchi, Massoud
1503 S Coast Dr Ste 110 , Costa Mesa CA 92626-1526 -
Lalani, Zahid S
8687 Louetta Rd Suite 100, Spring TX 77379-6672 -
Schabes, George A
2035 Lakeville Rd Ste 204, New Hyde Park NY 11040-1661 -
Duong, Derek Dungquang
2263 Fairview Rd #K, Costa Mesa CA 92627-1672