Organization
DAVID D. WYNN, D.D.S. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID D WYNN D.D.S. (OWNER)
(619) 287-8870
Entity
Organization
Contact information
Practice address
6495 ALVARADO RD, SUITE 102, SAN DIEGO, CA 92120-5004
(619) 287-8870
Mailing address
6495 ALVARADO RD, SUITE 102, SAN DIEGO, CA 92120-5004
(619) 287-8870
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D22569-01
CA
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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