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Organization
BRIAN JACOBSON, DDS AND ALLYN YOUNG, DDS, PC
Active
Organization
BRIAN JACOBSON, DDS AND ALLYN YOUNG, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLYN C YOUNG DDS (PRESIDENT)
(734) 522-6770
Entity
Organization
Contact information
Practice address
31550 SCHOOLCRAFT RD, LIVONIA, MI 48150-1805
(734) 522-6770
(734) 522-4062
Mailing address
31550 SCHOOLCRAFT RD, LIVONIA, MI 48150-1805
(734) 522-6770
(734) 522-4062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
013163
MI
1223G0001X
General Practice Dentistry
Primary
014485
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013163
DENTAL LICENSE, B JACOBSO
MI
01
—
014485
DENTAL LICENSE, A YOUNG
MI
Enumeration date
11/07/2006
Last updated
11/10/2014
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