Individual provider · Type 1 NPI
Robert Steven Wylie, DDS
Periodontics · Los Angeles, CA
NPI number
1003935974
Active
Practice location
8540 S Sepulveda Blvd, Suite 1211
Los Angeles, CA 90045-3807
Fax (310) 670-1454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 28834 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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- Ching Hsiu Ketty Chiu, DDSPeriodontics Los Angeles, CA NPI 1073835385
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About NPI 1003935974
Robert Steven Wylie, DDS's National Provider Identifier is 1003935974, issued on Mar 29, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.