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Organization
SOE L. WYNN, DMD, INC.
Active
Organization
SOE L. WYNN, DMD, INC.
Active
Other names
Allstar Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOE LWIN WYNN DMD (PRESIDENT)
(209) 238-9444
Entity
Organization
Contact information
Practice address
2030 COFFEE RD, SUITE C-4, MODESTO, CA 95355-2413
(209) 238-9444
(209) 238-9446
Mailing address
2030 COFFEE ROAD, SUITE C-4, MODESTO, CA 95355-8425
(209) 238-9444
(209) 238-9446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
45058
CA
Other
Enumeration date
04/03/2007
Last updated
06/11/2008
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