NPI | 1750016887 |
---|---|
Doing Business As | WYNN DENTAL WELLNESS |
Entity Type | Organization |
Authorized Contact | OMUA PATRICIA ANGOLE Owner 301-310-5034 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2022-07-21 |
Last Update Date | 2024-01-29 |