Individual
KENNETH ARTHUR WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1000 E DIMOND BLVD, 205, ANCHORAGE, AK 99515
(907) 344-5544
(907) 344-5564
Mailing address
1000 E DIMOND BLVD, 205, ANCHORAGE, AK 99515
(907) 344-5544
(907) 344-5564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
402
AK
122300000X
Dentist
402
CA
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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