DR. Robert M. Wynn, DMD

NPI #1144352170 in Peoria, Illinois

Provider Information

NPI Number: 1144352170
Entity Type: Individual
Name: DR. Robert M. Wynn, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Mar 13, 2007
Last Updated: Dec 10, 2020

Practice Location

Address: 4517 N ROCKWOOD DR
City: Peoria
State: Illinois
ZIP Code: 61615-3841
Phone: (309) 688-1021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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