DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOE L. WYNN, DMD, INC.

Active Organization

SOE L. WYNN, DMD, INC. is a Dentist organization located in MODESTO, California. NPI 1689795718 is currently active in the NPPES registry. Verify at CMS.

Dentist · MODESTO, CA

Registration Details

NPI Number
1689795718
Provider Type
Organization
NPI Issued
Apr 3, 2007 (19.347120753867 yrs)
Last Updated
Jun 11, 2008
License
45058 (CA)

Practice Information

Address
2030 COFFEE RD
SUITE C-4
MODESTO, CA, 953552413
Browse CA providers · Browse ZIP 95355
Phone
2092389444
Fax
2092389446
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in MODESTO, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.