Individual
DR. MARY ELLEN WYNN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3650 MUDDY CREEK RD, SUITE 200, CINCINNATI, OH 45238-2044
(513) 922-4221
(513) 922-5634
Mailing address
3650 MUDDY CREEK RD, SUITE 200, CINCINNATI, OH 45238-2044
(513) 922-4221
(513) 922-5634
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-01-5596
OH
Other
Enumeration date
12/29/2005
Last updated
07/08/2007
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