Organization
MARY ELLEN WYNN, D.D.S.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ELLEN WYNN D.D.S. (MEMBER)
(513) 922-4221
Entity
Organization
Contact information
Practice address
3650 MUDDY CREEK ROAD, SUITE 200, CINCINNATI, OH 45238-2044
(513) 922-4221
(513) 922-5634
Mailing address
3650 MUDDY CREEK ROAD, SUITE 200, CINCINNATI, OH 45238-2044
(513) 922-4221
(513) 922-5634
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15596
OH
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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