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General NPI Number Information
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NPI Number | 1679795298
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Entity Type | Organization
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Legal Business Name | WYNDHAMSMITH AND KIM D.D.S. INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 639 S. ESCONDIDO BLVD.
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City | ESCONDIDO
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State | CA
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Zip | 92025
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Country | US
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Telephone | 760-489-6197
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Fax | 760-489-6437
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Provider Business Mailing Address
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Address Line | 639 S. ESCONDIDO BLVD.
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City | ESCONDIDO
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State | CA
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Zip | 92025
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Country | US
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Telephone | 760-489-6197
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Fax | 760-489-6437
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. PATRICE A WYNDHAMSMITH
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Credential |
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Telephone | 760-489-6197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 28413
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 46195
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 49312
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License Number State | CA
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