Organization
YOUNG KIDZ DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD M YOUNG DDS (OWNER)
(503) 658-3384
Entity
Organization
Contact information
Practice address
14210 SE SUNNYSIDE RD STE 100, CLACKAMAS, OR 97015-5241
(503) 658-3384
(503) 658-1817
Mailing address
14210 SE SUNNYSIDE RD STE 100, CLACKAMAS, OR 97015-5241
(503) 658-3384
(503) 658-1817
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D8094
OR
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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