Organization
MICHAEL WYNN AND ASSOCIATES LLC
Active
Other names
Wynn Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH WYNN DDS (OWNER)
(918) 742-7351
Entity
Organization
Contact information
Practice address
4608 S HARVARD AVE STE A, TULSA, OK 74135-2913
(918) 742-7351
(918) 742-7352
Mailing address
4608 S HARVARD AVE STE A, TULSA, OK 74135-2913
(918) 742-7351
(918) 742-7352
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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