Individual
DANIEL YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2700 NATIONAL DR STE 102, ONALASKA, WI 54650-6709
(608) 783-3636
(608) 783-3639
Mailing address
2700 NATIONAL DR STE 102, ONALASKA, WI 54650-6709
(608) 783-3636
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1001778-15
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51557703
—
CO
Enumeration date
08/06/2008
Last updated
08/28/2019
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