Individual
JONI D YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
422 LANCASTER DR NE, SALEM, OR 97301-4728
(503) 581-8004
(503) 391-5493
Mailing address
422 LANCASTER DR NE, SALEM, OR 97301-4728
(503) 581-8004
(503) 391-5493
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6496
OR
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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