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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