Individual
DR. GLENN RICHARD YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
974 73RD ST, STE.#3, WINDSOR HEIGHTS, IA 50312-1024
(515) 224-1771
(515) 224-1771
Mailing address
974 73RD ST, STE.#3, WINDSOR HEIGHTS, IA 50312-1024
(515) 224-1771
(515) 224-1771
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7809
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134098
—
IA
Enumeration date
02/23/2007
Last updated
07/09/2007
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