Individual
DR. ERIC PHILIP YOUNGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
800 CALIFORNIA AVE W, SAINT PAUL, MN 55117-3456
(763) 639-7196
Mailing address
11800 ABERDEEN ST NE, BLAINE, MN 55449-4808
(763) 639-7196
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12645
MN
Other
Enumeration date
06/03/2009
Last updated
06/18/2009
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