Organization
S. RYAN YOUNG, DMD CAGS PLLC
Active
Other names
Imagine Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN YOUNG DMD (OWNER/ORTHODONTIST)
(480) 668-8200
Entity
Organization
Contact information
Practice address
1702 S VAL VISTA DR, SUITE 101, MESA, AZ 85204-7304
(480) 668-8200
Mailing address
1702 S VAL VISTA DR, SUITE 101, MESA, AZ 85204-7304
(480) 668-8200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6968
AZ
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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