DR. DEBRA WYNIA, DDS

Dentist

Active Individual
NPI: 1588773840

Practice Address

1068 S LAKE STREET
#209
Forest Lake, MN 55025

Phone: (651) 464-2248

Specialties

Specialty Code Primary License
Dentist 122300000X Yes D11691 (MN)

Frequently Asked Questions

NPI 1588773840 is the National Provider Identifier for DR. DEBRA WYNIA, DDS, a Dentist provider located in Forest Lake, MN. This NPI was enumerated on August 30, 2006.
DR. DEBRA WYNIA, DDS practices at 1068 S LAKE STREET, #209, Forest Lake, MN 55025.

Quick Facts

NPI
1588773840
Type
Individual
Enumerated
Aug 30, 2006
Last Updated
Jul 8, 2007

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