NPI 1124086061

Vicki J Wyan, DMD

Practitioner Dentist Fort Wainwright, AK

Practice location

Address: 1060 Gaffney Road 7500 USA Dentac Alaska Ft Wainwright, Fort Wainwright, AK 99703-7500
Phone: (907) 361-5530
Fax: (907) 361-4859

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DI 014669 (NJ)

Other Dentist providers in Alaska →

Registry record

NPI: 1124086061
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 May 2006
Record last updated: 22 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.