Individual
DR. KENNETH ORLANDO WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
UNITED STATES MILITYARY ACADEMY, DENTAC, 646 SWIFT ROAD, WEST POINT, NY 10996-1905
(845) 938-4212
(845) 938-4302
Mailing address
UNITED STATES MILITYARY ACADEMY, DENTAC, 646 SWIFT ROAD, WEST POINT, NY 10996-1905
(845) 938-4212
(845) 938-4302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0S11664
GA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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