Individual
JAMES E YOUNG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
64580 VAN DYKE RD, SUITE B, WASHINGTON, MI 48095-2857
(586) 752-3589
(586) 752-0198
Mailing address
64580 VAN DYKE RD, SUITE B, WASHINGTON, MI 48095-2857
(586) 752-3589
(586) 752-0198
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
JY015638
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D808133
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/09/2006
Last updated
07/08/2007
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