Dustin Wylam, D.M.D

NPI 1598805590 · on the registry since 2007

Practice

Address: 655 7th St
Robins Afb, GA 31098
Phone: (503) 309-4605
Organisation at this address: 78th Medgrp-Robins
78th Medgrp-Robins
Linda Munro Psy D Pa
78 Mdg Robins Afb, Ga
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 128

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia