SOE WYNN, DMD

Dentist

Active Individual
NPI: 1750362976

Practice Address

2030 COFFEE RD
SUITE # C-4
Modesto, CA 95355

Phone: (209) 238-9444

Specialties

Specialty Code Primary License
Dentist 122300000X Yes CA45058 (CA)

Frequently Asked Questions

NPI 1750362976 is the National Provider Identifier for SOE WYNN, DMD, a Dentist provider located in Modesto, CA. This NPI was enumerated on November 7, 2005.
SOE WYNN, DMD practices at 2030 COFFEE RD, SUITE # C-4, Modesto, CA 95355.

Quick Facts

NPI
1750362976
Type
Individual
Enumerated
Nov 7, 2005
Last Updated
Jul 8, 2007