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1215146337
LAURENCE A WYNN
COMMACK, NY
NPI
1215146337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 22571)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Dr. LAURENCE A WYNN DDS
164 COMMACK RD
COMMACK, NY 11725-3430
Phone number: 631-499-3377
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Mailing Address
Dr. LAURENCE A WYNN DDS
164 COMMACK RD
COMMACK, NY 11725-3430
Phone number: 631-499-3377
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