Individual
DR. JENNIFER H WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10697 N FRANK LLOYD WRIGHT BLVD, SUITE 102, SCOTTSDALE, AZ 85259-2680
(831) 235-1003
Mailing address
10697 N FRANK LLOYD WRIGHT BLVD, SUITE 102, SCOTTSDALE, AZ 85259-2680
(831) 235-1003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39456
CA
1223G0001X
General Practice Dentistry
D009624
AZ
Other
Enumeration date
03/02/2007
Last updated
12/08/2016
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