Joseph B Young Dmd PC
Clinic/Center, Dental in Tigard, OR. Organization (NPI-2).
NPI number1295083509
StatusActive
Last updated in NPPESAug 16, 2012
Details
- NPI
- 1295083509
- Entity type
- Organization (NPI-2)
- Legal business name
- Joseph B Young Dmd PC
- Organization subpart
- No
- Enumeration date
- Aug 16, 2012
- Last updated
- Aug 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | d9430 | OR | Yes |
Practice location
15405 Sw 116th Ave Ste 208Tigard, OR 97224-4101
Phone 503-684-0507
Mailing address
15405 Sw 116th Ave Ste 208Tigard, OR 97224-4101
Phone 503-684-0507
Authorized official
Joseph Brian Young
Dentist Owner
5036840507
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