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Individual

DR. DAVID D WYNN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
6495 ALVARADO RD, SUITE 102, SAN DIEGO, CA 92120-5004
(619) 287-8870
(619) 287-0640
Mailing address
6495 ALVARADO RD, SUITE 102, SAN DIEGO, CA 92120-5004
(619) 287-8870
(619) 287-0640

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D2256901
CA

Other

Enumeration date
07/22/2006
Last updated
07/08/2007
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