Young General Dental Practice, Pc

NPI 1437288693 - Dentist - 122300000X

NPI Details
NPI 1437288693
Enumeration Date 03/05/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PHILIP PHILIP
Position PRESIDENT
Phone (515) 278-2010
Fax (515) 278-1944
Practice Location
4919 DOUGLAS AVE
SUITE 10
DES MOINES IA, 50310-2775, US
Phone (515) 278-2010
Fax (515) 278-1944
Business Location
4919 DOUGLAS AVE
SUITE 10
DES MOINES IA, 50310-2775, US
Phone (515) 278-2010
Fax (515) 278-1944
Toxanomy
Taxonomy Code 122300000X
License State Iowa
License Number 6467
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According to our database, Young General Dental Practice, Pc NPI is 1437288693, taxonomy code is 122300000X and license number is 6467, license state is located at Iowa. Young General Dental Practice, Pc physically located at 4919 Douglas Ave, Des Moines IA, 50310-2775. NPI Number 1033115704 has the healthcare provider type.

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1437288693 NPI number is provided on an as is basis without warranty of any kind. 1437288693 is maintained by the National Plan & Provider Enumeration System. The contents of Young General Dental Practice, Pc are for informational purposes only.