Individual
DR. BONITA ANN WYNKOOP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2200 SPACE PARK DR, #300, NASSAU BAY, TX 77058-3677
(281) 333-3406
(281) 333-3442
Mailing address
2200 SPACE PARK DR, #300, NASSAU BAY, TX 77058-3677
(281) 333-3406
(281) 333-3442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16947
TX
Other
Enumeration date
10/04/2005
Last updated
07/08/2007
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