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Kenneth Wynn, DMD

NPI 1972692192 · on the registry since 2006 · sole proprietor

Practice

Address
United States Milityary Academy
Dentac, 646 Swift Road
West Point, NY 10996
Phone
(845) 938-4212
Fax
(845) 938-4302

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York