DR. Vicki J Wyan, DMD

NPI #1124086061 in Fort Wainwright, Alaska

Provider Information

NPI Number
1124086061
Entity Type
Individual
Name
DR. Vicki J Wyan, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
May 2, 2006
Last Updated
Sep 22, 2011

Practice Location

Address
1060 GAFFNEY ROAD 7500
Address 2
USA DENTAC ALASKA FT WAINWRIGHT
State
Alaska
ZIP Code
99703-7500
Phone
(907) 361-5530

Specialties & Taxonomy Codes

Specialty
Dentist

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