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Organization

YOUNG SMILES CHILDREN'S DENTISTRY LLC

Active
Parent organization
DALLIN C YOUNG DDS, PA
Other names
Young Smiles Children's Dentistry
Organization subpart
Yes

Provider details

NPI number
Legal business name
DALLIN C YOUNG DDS, PA
Authorized official
DALLIN YOUNG (CHAIRMAN)
(208) 404-9888
Entity
Organization

Contact information

Practice address
114 MINNIE ST, SUITE A, FAIRBANKS, AK 99701-3000
(907) 452-4509
Mailing address
114 MINNIE ST, SUITE A, FAIRBANKS, AK 99701-3000
(907) 452-4509

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DEN D1576
AK

Other

Enumeration date
09/12/2014
Last updated
09/12/2014
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