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Individual

DUSTIN YORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
224 W D.L. INGRAM AVE, BLDG 1408, CANNON AFB, NM 88103-5103
(575) 784-2778
Mailing address
423 SHREVEPORT RD, BARKSDALE AFB, LA 71110-2049
(480) 208-5809

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011918
AZ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/29/2023
Last updated
08/01/2024
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