# WYNDHAMSMITH AND KIM D.D.S. INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ACACIA DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679795298
- **Authorized official:** MRS. PATRICE A WYNDHAMSMITH (OFFICE MANAGER)
- **Authorized official phone:** (760) 489-6197

## Contact information

- **Practice address:** 639 S. ESCONDIDO BLVD., ESCONDIDO, CA 92025
- **Practice address phone:** (760) 489-6197
- **Practice address fax:** (760) 489-6437
- **Mailing address:** 639 S. ESCONDIDO BLVD., ESCONDIDO, CA 92025
- **Mailing address phone:** (760) 489-6197
- **Mailing address fax:** (760) 489-6437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 28413 | CA | — |
| 1223E0200X | Endodontics | 46195 | CA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 49312 | CA | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 09/11/2025
