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NPI Code Detail

MEDICARE: DR. MARIA CHRISTINE WYTKO DMD

MEDICARE: DR. MARIA CHRISTINE WYTKO DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryD009998AZ

General Provider Information

NPI Number : 1588155337
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA CHRISTINE WYTKO DMD
Provider Business Mailing Address
First Line : 8203 W ORAIBI DR APT 2093
Second Line :
City : PEORIA
State : AZ
Zip : 85382-6600
Country : US
Telephone Number : 509-969-0889
Fax Number :
Provider Business Practice Location Address
First Line : 8573 E PRINCESS DR # B201
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-7819
Country : US
Telephone Number : 480-896-7888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2018
Last Update Date : 05/12/2026

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