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Organization
DE YOUNG DENTAL ASSOCIATES, PLLC
Active
Organization
DE YOUNG DENTAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL SCOTT DE YOUNG DDS (CEO)
(616) 821-3851
Entity
Organization
Contact information
Practice address
1869 PORTER ST SW, WYOMING, MI 49519-1709
(616) 532-7601
Mailing address
1869 PORTER ST SW, WYOMING, MI 49519-1709
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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