DR. Debra Kristen Wynia, DDS

NPI #1588773840 in Forest Lake, Minnesota

Provider Information

NPI Number: 1588773840
Entity Type: Individual
Name: DR. Debra Kristen Wynia, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1068 S LAKE STREET
Address 2: #209
City: Forest Lake
State: Minnesota
ZIP Code: 55025
Phone: (651) 464-2248

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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