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Individual
DR. DONALD GALE YOUNGBAUER
Active
Individual
DR. DONALD GALE YOUNGBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1537
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115726
—
MT
01
—
15374
BLUE CROSS
MT
01
—
8660
STATE BOARD MN
MN
Enumeration date
11/08/2006
Last updated
07/08/2007
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