Individual
TRENTON YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1257 WALLACE RD NW, SALEM, OR 97304-3007
(503) 363-0292
Mailing address
1257 WALLACE RD NW, SALEM, OR 97304-3007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6601
OR
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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