Organization
WYNN DENTAL CORPORATION
Active
Parent organization
WYNN DENTAL CORPORATION
Other names
Mercy Care Dental Care, Mercy Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
WYNN DENTAL CORPORATION
Authorized official
MS. CELINA ROMERO (CREDENTIALING)
(480) 795-2420
Entity
Organization
Contact information
Practice address
6615 W HAPPY VALLEY RD STE 103104, GLENDALE, AZ 85310-2608
(623) 267-8088
Mailing address
6615 W HAPPY VALLEY RD STE 103104, GLENDALE, AZ 85310-2608
(623) 267-8088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
03/17/2026
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