Wynn Dental Corporation

NPI #1174199434 in Glendale, Arizona

Provider Information

NPI Number
1174199434
Entity Type
Organization
Organization Name
Wynn Dental Corporation
Subpart
Yes (part of a larger organization)
Parent Organization
WYNN DENTAL CORPORATION
Primary Specialty
Dentist - General Practice
Enumeration Date
May 27, 2021
Last Updated
May 27, 2021

Practice Location

Address
6615 W HAPPY VALLEY RD STE 103104
State
Arizona
ZIP Code
85310-2608
Phone
(623) 267-8088

Authorized Official

Name
MS. CELINA ROMERO
Title
CREDENTIALING
Phone
(480) 795-2420

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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