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Organization
YOUNG DENTAL, LTD
Active
Organization
YOUNG DENTAL, LTD
Active
Other names
Mill Pond Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ALBERTO YOUNG DDS (DENTIST)
(954) 536-4810
Entity
Organization
Contact information
Practice address
18700 WOLF RD, STE 200, MOKENA, IL 60448-8456
(954) 536-4810
Mailing address
18700 WOLF RD, STE 200, MOKENA, IL 60448-8456
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019029534
IL
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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